| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUSH, JOSEPH P3 Filed as: BUSH JOSEPH P | 215 CLOVER LN PHEONIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 5.42% |
| 701 WESTTOWN ROAD LLC3 | 200 W LINCOLN HWY #A EXTON, PA 19341 | AMERICAN FIDELITY ASSURANCE COMPANY | $927 | $0 | $927 | 2.23% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $844 | $0 | $844 | 2.03% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $416 | $0 | $416 | 1.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 5.37% |
| BUSH, JOSEPH P3 Filed as: BUSH, JOSEPH | 215 CLOVER LN PHEONIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 5.28% |
| 701 WESSTOWN ROAD LLC3 | 200 W LINCOLN HWY #A EXTON, PA 19341 | AMERICAN FIDELITY ASSURANCE COMPANY | $650 | $0 | $650 | 2.08% |
| PAA SERVICES INC3 | ATTN EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $40 | $40 | 0.13% |
| BUSH, JOSEPH P3 | 215 CLOVER LN PHOENIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | $0 | $1K | 5.15% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $775 | $0 | $775 | 2.89% |
| 701 WESTTOWN ROAD LLC3 | 200 W LINCOLN HWY #A EXTON, PA 19341 | AMERICAN FIDELITY ASSURANCE COMPANY | $531 | $0 | $531 | 1.98% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $268 | $0 | $268 | 1.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $860 | $0 | $860 | 3.72% |
| BUSH, JOSEPH P3 | 215 CLOVER LN PHOENIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $741 | $0 | $741 | 3.21% |
| 701 WESSTOWN ROAD LLC3 | 200 W LINCOLN HWY #A EXTON, PA 19341 | AMERICAN FIDELITY ASSURANCE COMPANY | $440 | $0 | $440 | 1.90% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $231 | $0 | $231 | 1.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $783 | $0 | $783 | 7.03% |
| EMPLOYEE NAVIGATOR, LLC3 Filed as: EMPLOYEE NAVIGATOR LLC | 7979 OLD GEORGETOWN RD STE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $18 | $0 | $18 | 0.16% |
| AMERICAN FIDELITY GENERAL AGENCY3 Filed as: AMERICAN FIDELITY GENERAL AGCY INC | 9000 CAMERON PKWY FL 9 OKLAHOMA CITY, OK 73114 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $593 | $0 | $593 | 10.00% |
| AMERICAN FIDELITY GENERAL AGENCY3 Filed as: AMERICAN FIDELITY GENERAL AGCY INC | 9000 CAMERON PKWY FL 9 OKLAHOMA CITY, OK 73114 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $476 | $0 | $476 | 9.99% |
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 | 126 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 126 | $11K |
| Short-term disability(4 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 43 | $96K |
| Long-term disability(5 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 43 | $129K |
| Other(4 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 23 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.