| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT DOOLEY3 | 219 SALTGRASS DRIVE GLEN BURNIE, MD 21060 | NATIONAL HEALTH INSURANCE COMPANY | $14K | — | $14K | 3.00% |
| BROKER NOT PROVIDED3 Filed as: BROKER RESOURCES | 3 THEO LANE TOWSON, MD 21204 | NATIONAL HEALTH INSURANCE COMPANY | $5K | — | $5K | 1.00% |
| ALAN J ZUCCARI INC3 | 4100 MONUMENT CORNER DRIVE SUITE 500 FAIRFAX, VA 22030 | SYMETRA LIFE INSURANCE COMPANY | $22K | — | $22K | 16.81% |
| ALAN J ZUCCARI INC3 | 4100 MONUMENT CORNER DRIVE SUITE 500 FAIRFAX, VA 22030 | SYMETRA LIFE INSURANCE COMPANY | $15K | $2K | $17K | 34.55% |
| HAMILTON INSURANCE AGENCY3 Filed as: HAMILTON INS. AGENCY | 4100 MONUMENT CORNER DRIVE SUITE 500 FAIRFAX, VA 22030 | DOMINION NATIONAL | $3K | — | $3K | 23.21% |
| ALAN J ZUCCARI INC3 | 4100 MONUMENT CORNER DRIVE FAIRFAX, VA 22030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $605 | — | $605 | 17.31% |
| ANDREW KOEPKE3 | 8150 LEESBURG PIKE #8204 VIENNA, VA 22183 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $521 | — | $521 | 14.90% |
| E B SPECIALISTS INC3 | 4329 HAWKINS MILL ROAD LYNCHBURG, VA 24503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | $36 | $104 | 2.97% |
| MADELYN RENE PELCHAT3 | 1004 MAPLE AVENUE EAST VIENNA, VA 22180 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $76 | $11 | $87 | 2.49% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY, PA 16066 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.17% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.11% |
| TERESA LYNN FOUTZ3 | 1877 LEALAND AVENUE POLAND, OH 44514 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.03% |
| DANIEL C HARRIS3 Filed as: DANIEL CARL HARRIS | 4110 WILLOW CREEK DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.03% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY, PA 16066 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $76 | — | $76 | 3.48% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 2.38% |
| DANIEL C HARRIS3 Filed as: DANIEL CARL HARRIS | 4110 WILLOW CREEK DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.69% |
| TERESA LYNN FOUTZ3 | 1877 LEALAND AVENUE POLAND, OH 44514 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.37% |
| HEATHER MARIE BARTLEY3 | 324 OSPREY COURT WEXFORD, PA 15090 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.09% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY, PA 16066 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 3.66% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | — | $33 | 2.32% |
| TERESA LYNN FOUTZ3 | 1877 LEALAND AVENUE POLAND, OH 44514 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.35% |
| DANIEL C HARRIS3 Filed as: DANIEL CARL HARRIS | 4110 WILLOW CREEK DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.35% |
| HEATHER MARIE BARTLEY3 | 324 OSPREY COURT WEXFORD, PA 15090 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.07% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY, PA 16066 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 3.16% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 2.18% |
| DANIEL C HARRIS3 Filed as: DANIEL CARL HARRIS | 4110 WILLOW CREEK DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.65% |
| TERESA LYNN FOUTZ3 | 1877 LEALAND AVENUE POLAND, OH 44514 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.33% |
| HEATHER MARIE BARTLEY3 | 324 OSPREY COURT WEXFORD, PA 15090 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.11% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY, PA 16066 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | — | $30 | 3.57% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 2.50% |
| DANIEL C HARRIS3 Filed as: DANIEL CARL HARRIS | 4110 WILLOW CREEK DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.71% |
| TERESA LYNN FOUTZ3 | 1877 LEALAND AVENUE POLAND, OH 44514 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.36% |
| HEATHER MARIE BARTLEY3 | 324 OSPREY COURT WEXFORD, PA 15090 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.12% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY, PA 16066 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 2.50% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 1.67% |
| DANIEL C HARRIS3 Filed as: DANIEL CARL HARRIS | 4110 WILLOW CREEK DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.83% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,116 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 56 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DOMINION NATIONAL | 51 | $14K |
| Vision | DOMINION NATIONAL | 51 | $14K |
| Life insurance(7 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 1,402 | $141K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,402 | $132K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,402 | $132K |
| Stop-loss / reinsurancereinsurance | NATIONAL HEALTH INSURANCE COMPANY | 388 | $470K |
| Other(9 contracts, 3 carriers) | SYMETRA LIFE INSURANCE COMPANY | 1,402 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,402 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.