| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 701 WESTTOWN ROAD LLC3 Filed as: 701 WESTTOWN ROAD,LLC | 1265 OLD WILMINGTON PIKE SUITE A WEST CHESTER, PA 19382 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 5.96% |
| AMERICAN FIDELITY GENERAL AGENCY3 Filed as: AMERICAN FIDELITY GENERAL AGCYINC | 9000CAMERONPKWYFL9 OKLAHOMACITY, OK 73114 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $341 | $4K | 4.87% |
| JOSEPH WALSH3 Filed as: JOSEPH PETER BUSH | 966 S MATALACK STREET WEST CHESTER, PA 19382 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.70% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $6K | $0 | $6K | 15.61% |
| BUSH, JOSEPH P3 Filed as: BUSH JOSEPH P | 215 CLOVER LN PHEONIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 6.66% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $374 | $0 | $374 | 1.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | $0 | $3K | 9.56% |
| BUSH, JOSEPH P3 Filed as: BUSH, JOSEPH | 215 CLOVER LN PHEONIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 6.49% |
| PAA SERVICES INC3 | ATTN EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $270 | $270 | 0.92% |
| 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 | $1K | $0 | $1K | 5.56% |
| JOSEPH WALSH3 Filed as: JOSEPH PETER BUSH | 966 S MATLACK STREET WEST CHESTER, PA 19382 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 4.44% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 8.05% |
| BUSH, JOSEPH P3 | 215 CLOVER LN PHOENIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 6.57% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $235 | $0 | $235 | 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 | 9.04% |
| BUSH, JOSEPH P3 | 215 CLOVER LN PHOENIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $890 | $0 | $890 | 4.23% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $211 | $0 | $211 | 1.00% |
| 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 | $1K | $0 | $1K | 5.56% |
| JOSEPH WALSH3 Filed as: JOSEPH PETER BUSH | 966 S MATLACK ST WEST CHESTER, PA 19382 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $842 | $0 | $842 | 4.44% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $813 | $0 | $813 | 6.88% |
| EMPLOYEE NAVIGATOR, LLC3 Filed as: EMPLOYEE NAVIGATOR LLC | 7979 OLD GEORGETOWN RD STE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $61 | $0 | $61 | 0.52% |
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 | 127 | 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) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 115 | $12K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $86K |
| Short-term disability(5 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $187K |
| Long-term disability(5 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 46 | $135K |
| Other(5 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $198K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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.
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.