| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGAR CARTER JR3 Filed as: EDGAR CARTER JR. | 5944 LUTHER LANE, SUITE 307 DALLAS, TX 75225 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $1K | $5K | 7.34% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 2.95% |
| KNOX RIDLEY, JR.3 Filed as: KNOX RIDLEY JR. | 202 ROYAL LANE SHREVEPORT, LA 71106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $359 | $10K | 21.33% |
| MCFADDEN BENEFIT MANAGEMENT INC3 Filed as: MCFADDEN BENEFIT MANAGEMENT INC. | 5852 KENNEDY DRIVE FAYETTEVILLE, AR 72704 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $6K | 11.45% |
| KYLE HARDING3 | 105 E BROAD STREET TEXARKANA, AR 71854 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $3K | $5K | 9.46% |
| MARKS BENEFIT MANAGEMENT LLC3 | 4257 N GABEL DRIVE FAYETTEVILLE, AR 72703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 6.30% |
| SHAREE HOOPER3 | 8757 BUSINESS PARK DRIVE SHREVEPORT, LA 71105 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 4.62% |
| SHANNA JO ALDRIDGE3 Filed as: SHANNA ALDRIDGE | 5096 OAKHURST LANE FRISCO, TX 75034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $90 | $1K | 2.74% |
| JOHN P ROMANUCCI3 Filed as: JOHN ROMANUCCI | 10524 E 36TH STREET YUMA, AZ 85365 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $354 | $901 | $1K | 2.60% |
| MARC MAURICIO MORROW3 Filed as: MARC MORROW | 30218 VINEBRIAR DRIVE SPRING, TX 77386 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $821 | $155 | $976 | 2.02% |
| WAYMON RUSSELL COX3 Filed as: WAYMON COX | 700 S 8TH STREET SLATON, TX 79364 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $807 | $6 | $813 | 1.69% |
| CRESSI JOHNSON3 | 8752 LARIAT ROAD WILLIAMS, AZ 86046 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $453 | — | $453 | 0.94% |
| JERRY A EDGAR3 Filed as: JERRY EDGAR | 7021 S 38TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $284 | $83 | $367 | 0.76% |
| JEFFREY CHARLES NICKEL3 Filed as: JEFFREY NICKEL | 898 LOCKSLEY MANOR DRIVE LAKE ST. LOUIS, MO 63367 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $250 | $114 | $364 | 0.76% |
| EDWARD MOSE THUROW3 Filed as: EDWARD THUROW | 4842 SANTA BARBARA STREET LAS VEGAS, NV 89121 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $312 | $9 | $321 | 0.67% |
| JANET ANNE LABRIE3 Filed as: JANET LABRIE | 701 HARLAN STREET LAKEWOOD, CO 80214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $313 | — | $313 | 0.65% |
| ROSE MARY GOODMAN3 Filed as: ROSE GOODMAN | 5200 HOLLY LANE N #4 PLYMOUTH, MN 55446 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $254 | $32 | $286 | 0.59% |
| SUZANNE ELIZABETH HARDY3 Filed as: SUZANNE HARDY | 7245 WILLOW WAY NORTH OLMSTED, OH 44070 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $280 | — | $280 | 0.58% |
| SHANNON MARIE BALDWIN3 Filed as: SHANNON BALDWIN | 10222 E 114TH STREET S BIXBY, OK 74008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $215 | $31 | $246 | 0.51% |
| GLORIA GUERRA3 | 34212 N 23RD GLEN PHOENIX, AZ 85085 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $160 | $46 | $206 | 0.43% |
| COLONIAL OF NORTH TEXAS INSURANCE3 | 4621 GLEN HEATHER DRIVE FRISCO, TX 75034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $92 | $108 | $200 | 0.41% |
| SA GENERAL AGENCY INC3 Filed as: SA GENERAL AGENCY INC. | 9385 MILLER LANE GARDEN RIDGE, TX 78266 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $93 | $94 | $187 | 0.39% |
| RODNEY G STORCK3 Filed as: RODNEY STORCK | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $163 | $14 | $177 | 0.37% |
| HORIZON BENEFITS LLC3 | 9385 MILLER LANE GARDEN RIDGE, TX 78266 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $80 | $88 | $168 | 0.35% |
| MARK E WERNER II3 Filed as: MARK WERNER II | 4423 WYNN ROAD BALTIMORE, MD 21236 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $160 | — | $160 | 0.33% |
| ROBERTA BAKKEN3 | 8012 W CORNING ROAD PEOTONE, IL 60468 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $138 | $17 | $155 | 0.32% |
| MELODIE F FONTENOT3 Filed as: MELODIE FONTENOT | 5224 75TH STREET LUBBOCK, TX 79424 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $121 | $10 | $131 | 0.27% |
| DEACON CHARLES KAVANAUGH3 Filed as: DEACON KAVANAUGH | 6336 HILL CREEK DRIVE THE COLONY, TX 75056 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $92 | $38 | $130 | 0.27% |
| MYRNA CERDA3 | 195 BLAKEFORD DRIVE DUBLIN, OH 43017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $84 | $42 | $126 | 0.26% |
| BILLY MARK ROBERSON3 Filed as: BILLY ROBERSON | 17415 SHADY CANYON SAN ANTONIO, TX 78248 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $88 | $30 | $118 | 0.24% |
| DAWN JENKINS LONG3 Filed as: DAWN LONG | 1840 ROCK SPRING STREET NEWBURY PARK, CA 91320 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $84 | $32 | $116 | 0.24% |
| DEBORAH ANN BERRY3 Filed as: DEBORAH BERRY | 1042 E 9TH PLACE MESA, AZ 85203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $107 | $4 | $111 | 0.23% |
| OMAR MENDOZA3 | 26326 ROCKWALL PARKWAY NEW BRAUNFELS, TX 78132 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $80 | $31 | $111 | 0.23% |
| KELLY CRUSE3 | 6337 BIRCHVIEW DRIVE SOUTH REYNOLDSBURG, OH 43068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | $26 | $109 | 0.23% |
| TROY J PALMER3 Filed as: TROY PALMER | 15534 CLOVER RIDGE SAN ANTONIO, TX 78248 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $80 | $29 | $109 | 0.23% |
| EDITH VIEYRA3 | 1432 EAST MARKET STREET LONG BEACH, CA 90805 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | $24 | $107 | 0.22% |
| CHAU PHAN3 | 355 AVOCADO STREET COSTA MESA, CA 92627 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $102 | — | $102 | 0.21% |
| JAMES D THRESHER3 Filed as: JAMES THRESHER | 1316 E NIGHTINGALE LANE GILBERT, AZ 85298 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | $65 | $97 | 0.20% |
| SARA SORENSEN-CONNICK3 | 8547 E ARAPAHOE GREENWOOD VILLAGE, CO 80112 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | $45 | $92 | 0.19% |
| L H WHITAKER ENTERPRISES INC3 Filed as: LH WHITAKER ENTERPRISES INC. | 43 NORTHCREEKSIDE COURT HOUSTON, TX 77055 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | $20 | $82 | 0.17% |
| VIP INSURANCE INC3 Filed as: VIP INSURANCE INC. | 400 S RAMPART BOULEVARD, SUITE 250 LAS VEGAS, NV 89145 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | $34 | $81 | 0.17% |
| RICHARD D SCHOOLEY3 Filed as: RICHARD SCHOOLEY | 563 BALLAS PARK DRIVE ST. LOUIS, MO 63122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | $44 | $81 | 0.17% |
| CHARITY L HOLMAN3 Filed as: CHARITY HOLMAN | 1966 WOLVERHAMPTON ROAD POWELL, OH 43065 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $70 | $76 | 0.16% |
| LISA M. WHITEHEAD3 Filed as: LISA GIANNIAS | 6803 N 16TH STREET PHOENIX, AZ 85016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | — | $68 | 0.14% |
| MANUEL TORRES3 | 20235 N CAVE CREEK ROAD PHOENIX, AZ 85024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $53 | $15 | $68 | 0.14% |
| DIANNE E MCCOY3 Filed as: DIANNE MCCOY | 1913 RETREAT DRIVE MECHANICSVILLE, VA 23111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $57 | $1 | $58 | 0.12% |
| KELLY W PUGH3 Filed as: KELLY PUGH | 7367 S 286TH E AVENUE BROKEN ARROW, OK 74014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | $16 | $48 | 0.10% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM HERTZOG | 13700 STATE ROAD NORTH ROYALTON, OH 44133 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $42 | $5 | $47 | 0.10% |
| GENE BISSINGER3 | 4077 SNOWGOOSE STREET SIMI VALLEY, CA 93065 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.08% |
| MICHAEL BLOCK3 | 16619 S PINECREEK DRIVE LOCKPORT, IL 60441 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $14 | $35 | 0.07% |
| CRISS BUTLER3 | 4924 EASTRIDGE DRIVE OMAHA, NE 68134 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $12 | $33 | 0.07% |
| TERI L SWARTZENDRUBER3 Filed as: TERI SWARTZENDRUBER | 4130 GIRARD AVENUE N MINNEAPOLIS, MN 55412 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $13 | $32 | 0.07% |
| ROBERT ELLIS3 | 11261 WRIGHT CIRCLE OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $11 | $32 | 0.07% |
| JACK ALLEN NORRIS3 Filed as: JACK WU | 821 BURLINGTON STREET FILLMORE, CA 93015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $11 | $29 | 0.06% |
| SAMUEL A MCFALL3 Filed as: SAMUEL MCFALL | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | $3 | $28 | 0.06% |
| SUZANNE R BROSEMER3 Filed as: SUZANNE BROSEMER | 6889 WOODSVILLE ROAD HAYES, VA 23072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | $3 | $26 | 0.05% |
| SCOTT SWARTZENDRUBER3 | 600 HIGHWAY 169 S MINNEAPOLIS, MN 55426 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $7 | $26 | 0.05% |
| KENT BISWANGER3 | 8134 W ACOMA DRIVE PEORIA, AZ 85381 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $17 | $25 | 0.05% |
| CONSUMER DRIVEN BENEFITS LLC3 | 3737 BIRCH STREET NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $16 | $24 | 0.05% |
| CASSANDRA LONG3 | 8629 ALDEN STREET LENEXA, KS 66215 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $3 | $23 | 0.05% |
| JEANENE MOTSCO3 | 5965 SANDY RIDGE ELKRIDGE, MD 21075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $5 | $17 | 0.04% |
| JEFFREY MOTSCO3 | 5965 SANDY RIDGE ELKRIDGE, MD 21075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $2 | $14 | 0.03% |
| PHILLIP EDWARD HOLSTEIN3 Filed as: PHILLIP HOLSTEIN | 5976 PENNINGTON CREEK DRIVE DUBLIN, OH 43016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $8 | $14 | 0.03% |
| JENNIFER LOEFFLER3 | 4455 MANSON ROAD CANAL WINCHESTER, OH 43110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $1 | $14 | 0.03% |
| ANAHI RIES3 | 3803 N STUDEBAKER ROAD LONG BEACH, CA 90808 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $8 | $14 | 0.03% |
| HAD LI ENTERPRISES INCORPORATED3 | 11432 S STREET #303 CERRITOS, CA 90703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $6 | $12 | 0.02% |
| BRIAN MADTES3 | 1308 JAMES COOK WINDCREST, TX 78239 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $3 | $9 | 0.02% |
| KELLY MELISSA RUSHING3 Filed as: KELLY KRISCH | 725 RIVER BLUFF DRIVE LYTLE, TX 78052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $2 | $8 | 0.02% |
| RACHAEL DARLENE DUBE3 Filed as: RACHAEL DUBE | 1013 OAK GLEN IRVINE, CA 92618 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| RON BOWLING3 | 8575 W 110TH STREET OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $3 | $6 | 0.01% |
| ROBERT E PAGANI3 Filed as: ROBERT PAGANI | 10840 SUNSET HILLS DRIVE RICHMOND, VA 23236 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| NATOSIA VENUS MCNAIR3 Filed as: NATOSIA MCNAIR | 9005 DANWOOD MANOR TERRACE RICHMOND, VA 23227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| BENECOMM RESOURCES INC3 Filed as: BENECOMM RESOURCES INC. | 2643 BEAVER AVENUE DES MOINES, IA 50310 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| NICK PATRAS3 | P.O. BOX 1316 COMMERCE, TX 75429 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 4.58% |
| EDGAR CARTER JR3 Filed as: EDGAR CARTER JR. | 5944 LUTHER LANE, SUITE 307 DALLAS, TX 75225 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 11.00% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 4.75% |
| EDGAR CARTER JR3 Filed as: EDGAR CARTER JR. | 5944 LUTHER LANE, SUITE 307 DALLAS, TX 75225 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $802 | $226 | $1K | 7.20% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $437 | $437 | 3.06% |
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 | 3,454 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,458 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 422 | $272K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 611 | $53K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,039 | $70K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 816 | $46K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 105 | $31K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,018 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,039 | — |
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.