| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | C/O GALLAGHER BENEFIT SERVICES INC TWO PIERCE PLACE ITASCA, IL 60143 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $38K | — | $38K | 7.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGER BENEFIT SERVICES INC | 400 MIDLAND DRIVE SUITE 300 MT LAUREL, NJ 08054 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $21K | $21K | 4.13% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 0.28% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | TWO PIERCE PLACE 14TH FL ITASCA, IL 60143 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | $3K | $15K | 8.81% |
| DEBORAH ALEXAKOS3 | 1727 WEST GREENHEAD DRIVE MERIDIAN, ID 83642 | COLONIAL LIFE & ACCIDENT INSURANCE | $2K | — | $2K | 5.65% |
| RAYMOND DICK3 Filed as: RAYMOND J DICK | 108 VALLEY CREEK COURT FRANKLIN, TN 37064 | COLONIAL LIFE & ACCIDENT INSURANCE | $2K | — | $2K | 4.95% |
| LUIS ERNESTO PEREZ3 | 861 KENWOOD STREET UPLAND, CA 91784 | COLONIAL LIFE & ACCIDENT INSURANCE | $566 | — | $566 | 1.67% |
| HURTADO & ASSOCIATES LLC3 | 13948 HALCOURT AVENUE NORWALK, CA 90650 | COLONIAL LIFE & ACCIDENT INSURANCE | $419 | — | $419 | 1.24% |
| SHANE G ROSS3 | 8721 PREDERA COURT RANCHO CUCAMONGA, CA 91730 | COLONIAL LIFE & ACCIDENT INSURANCE | $188 | — | $188 | 0.55% |
| FRANCISCO X CABRERA3 | 8618 PALMER COURT MCKINNEY, TX 75070 | COLONIAL LIFE & ACCIDENT INSURANCE | $184 | — | $184 | 0.54% |
| RONNY ANN WARNER3 | 470 E WHITBECK STREET KUNA, ID 83634 | COLONIAL LIFE & ACCIDENT INSURANCE | $171 | $2 | $173 | 0.51% |
| RUBEN D PEREZ3 | 6352 ALCORN AVENUE DALLAS, TX 75217 | COLONIAL LIFE & ACCIDENT INSURANCE | $113 | — | $113 | 0.33% |
| DANA MARIE MOWATT3 | 23701 S WESTERN AVENUE #112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE | $84 | $12 | $96 | 0.28% |
| MCCAREY INC3 | 965 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE & ACCIDENT INSURANCE | $31 | $50 | $81 | 0.24% |
| LORI LYNN PIERCE3 | 5909 CINNAMON OAKS DRIVE CORPUS CHRISTI, TX 78414 | COLONIAL LIFE & ACCIDENT INSURANCE | $62 | — | $62 | 0.18% |
| ELIZABETH REYNERTSON3 | 4725 ROSEBANK DRIVE LA CANADA, CA 91011 | COLONIAL LIFE & ACCIDENT INSURANCE | $62 | — | $62 | 0.18% |
| MARIA VERONICA JARQUE3 | 8366 VIA SONOMA UNIT E LA JOLLA, CA 92037 | COLONIAL LIFE & ACCIDENT INSURANCE | $47 | $11 | $58 | 0.17% |
| TAMMY SUE FOWLER3 | 5513 FOX RUN DRIVE CORPUS CHRISTI, TX 78413 | COLONIAL LIFE & ACCIDENT INSURANCE | $50 | — | $50 | 0.15% |
| BURTON M HERRING JR3 | 1135 ARLINGTON DRIVE BIRMINGHAM, AL 35224 | COLONIAL LIFE & ACCIDENT INSURANCE | $45 | — | $45 | 0.13% |
| CD FRAZIER ASSOCIATES INC3 Filed as: CD FRAZIER ASSOICATES INC | 8631 STONEFACE ROAD CHARLOTTE, NC 28214 | COLONIAL LIFE & ACCIDENT INSURANCE | $41 | — | $41 | 0.12% |
| RICHARD WILLIAM FRIEDMAN3 | 23927 RUSTIC COURT SANTA CLARITA, CA 91354 | COLONIAL LIFE & ACCIDENT INSURANCE | $35 | — | $35 | 0.10% |
| CYNTHIA LERNER RUBIN3 Filed as: CYNTHIA P WHALEN | 123 PINE VALLEY DRIVE MIDDLETOWN, DE 19709 | COLONIAL LIFE & ACCIDENT INSURANCE | $32 | — | $32 | 0.09% |
| NORWOOD BENEFIT SERVICES INC3 | 6478 LONG BREEZE ROAD ORLANDO, FL 32810 | COLONIAL LIFE & ACCIDENT INSURANCE | $29 | — | $29 | 0.09% |
| MARY-JOYCE LICATA3 | 583 HATCHERY ROAD NORTH KINGSTOWN, RI 02852 | COLONIAL LIFE & ACCIDENT INSURANCE | $25 | — | $25 | 0.07% |
| JAKORP INC3 | 14458 CRESTWOOD AVENUE POWAY, CA 92064 | COLONIAL LIFE & ACCIDENT INSURANCE | $4 | $2 | $6 | 0.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL J MINNEY | PO BOX 365 POWAY, CA 92074 | COLONIAL LIFE & ACCIDENT INSURANCE | $4 | $2 | $6 | 0.02% |
| EDWARD H SPATER3 | PO BOX 351 EAST BROOKFIELD, MA 01515 | COLONIAL LIFE & ACCIDENT INSURANCE | $5 | — | $5 | 0.01% |
| GENEVIEVE CARELLI3 | 547 CLEO LANE DELTONA, FL 32792 | COLONIAL LIFE & ACCIDENT INSURANCE | $5 | — | $5 | 0.01% |
| SUSAN FONTANA FLYNN3 | 8814 EAGLE POINT DRIVE KNOXVILLE, TN 37931 | COLONIAL LIFE & ACCIDENT INSURANCE | $5 | — | $5 | 0.01% |
| ALLYN INCORPORATED3 | 3013 BROOKFIELD LANE CLEARWARTER, FL 33761 | COLONIAL LIFE & ACCIDENT INSURANCE | $4 | — | $4 | 0.01% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BOULEVARD APARTMENT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE | $2 | — | $2 | 0.01% |
| CLARICE R MIMS3 | 175-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | COLONIAL LIFE & ACCIDENT INSURANCE | $2 | — | $2 | 0.01% |
| WILLIAM RENNARD3 | 3001 ALOMA AVENUE WINTER PARK, FL 32792 | COLONIAL LIFE & ACCIDENT INSURANCE | $2 | — | $2 | 0.01% |
| EMMA ANN DEAN3 | 350 SOUTH BELVEDERE DRIVE HAMPSTEAD, NC 28443 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| MITCHELL HECTOR MORALES3 | PO BOX 2532 NORCROSS, GA 30091 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| THOMAS MARTIN LEVINSTEIN3 | 16 PHEASANT LANE ALISO VIEJO, CA 92656 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| TROY J PALMER3 | 15534 CLOVER RIDGE SAN ANTONIO, TX 78248 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| BILLY MARK ROBERSON3 | 17415 SHADY CANYON SAN ANTONIA, TX 78248 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| COLONIAL LIFE & ACCIDENT3 Filed as: COLONIAL LIFE & ACCIDENT INSURANCE | VARIOUS AGENTS POST OFFICE BOX 1365 COLUMBIA, SC 292021365 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| OMAR MENDOZA3 | 26326 ROCKWALL PARKWAY NEW BRAUNFELS, TX 78132 | COLONIAL LIFE & ACCIDENT INSURANCE | $1 | — | $1 | 0.00% |
| DEBORAH ALEXAKOS3 | 1727 WEST GREENHEAD DRIVE MERIDIAN, ID 83642 | THE PAUL REVERE LIFE INSURANCE COMPANY | $223 | — | $223 | 5.81% |
| RAYMOND DICK3 Filed as: RAYMOND J DICK | 108 VALLEY CREEK COURT FRANKLIN, TN 37064 | THE PAUL REVERE LIFE INSURANCE COMPANY | $168 | — | $168 | 4.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GEORGE HILLENBRAND | 347 WEAST ROAD SCHENECTADY, NY 12306 | THE PAUL REVERE LIFE INSURANCE COMPANY | $65 | — | $65 | 1.69% |
| JACQUELINE RENEE JACKSON3 | 6 E ONEIDA STREET APARTMENT 2 BALDWINSVILLE, NY 13027 | THE PAUL REVERE LIFE INSURANCE COMPANY | $18 | — | $18 | 0.47% |
| MEGAN Z CULVER3 Filed as: MEGAN Z HARRIS | 3 GORING PLACE WAPPINGER FALLS, NY 12590 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.23% |
| MCCAREY INC3 | 965 MESA DRIVE CAMARILLO, CA 93010 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4 | $4 | $8 | 0.21% |
| DANA MARIE MOWATT3 | 23701 S. WESTERN AVENUE #112 TORRANCE, CA 90501 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.16% |
| TIMOTHY J REED3 | 21 AZALEA DRIVE LUMBERTON, NJ 08048 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.08% |
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 | 3,884 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,891 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,869 | $519K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE | 775 | $38K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,884 | $167K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,869 | $519K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,869 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.