| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUG W CLATTERBUCK3 | 2066 NATIONAL ROAD WHEELING, WV 26003 | AFLAC | $483 | $0 | $483 | — |
| JAYDE F HARFORD3 | 940 BUFFINGTON ROAD NEW SALEM, WV 15468 | AFLAC | $361 | $0 | $361 | — |
| DIANNA KIRK3 | 1025 SHAWNEE TRI ELKVIEW, WV 25071 | AFLAC | $115 | $0 | $115 | — |
| JEFFREY CORREAL3 | 442 DUCK HOLLOW ROAD UNIONTOWN, WV 15401 | AFLAC | $77 | $0 | $77 | — |
| SUSAN BALL3 | 203 DESERT SKY DRIVE MC GREGOR, WV 76657 | AFLAC | $70 | $0 | $70 | — |
| KATHY J DENT3 | 124 MARGY LN SOUTH CHARLESTON, PA 25309 | AFLAC | $66 | $0 | $66 | — |
| BRANDON L MILLER3 | 5852 EMPIRE MILLS RUN CANAL WINCHESTER, WV 43110 | AFLAC | $60 | $0 | $60 | — |
| JOHN EARL OTTE3 | 1119 MMAXWELL HILL RD BECKLEY, WV 25801 | AFLAC | $59 | $0 | $59 | — |
| JENNIFER M HAIR3 | 651 MARSHALL AVE PITTSBURGH, PA 15214 | AFLAC | $58 | $0 | $58 | — |
| TYRONE K PERSINGER3 | 998 KELLY HILL ROAD CLENDENIN, WV 25045 | AFLAC | $40 | $0 | $40 | — |
| MARK D JONES3 | 306 CUNNINGHAM RUN ROAD PENNSBORO, WV 26415 | AFLAC | $35 | $0 | $35 | — |
| CHARLES E MCNEIL3 | 817 SCOTT DEPOT ROAD SCOTT DEPOT, WV 25560 | AFLAC | $32 | $0 | $32 | — |
| LESLIE K KIMBROUGH3 Filed as: LESLIE K KIMBROUGHJ | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $22 | $0 | $22 | — |
| DIANE BOSSIE3 | 5611 KANAWHA AVE SE CHARLESTON, WV 25304 | AFLAC | $20 | $0 | $20 | — |
| TIMOTHY L HARFORD3 Filed as: TIMOTHY HARFORD | PO BOX 173 NEW SALEM, PA 15468 | AFLAC | $20 | $0 | $20 | — |
| RPM LTD3 | PO BOX 1016 YULEE, FL 32041 | AFLAC | $18 | $0 | $18 | — |
| DENNIS HARTIN3 Filed as: DENNIS SCOTT HARTIN | 12203 STATE STREET TAMPA, FL 33635 | AFLAC | $18 | $0 | $18 | — |
| BRYAN C SWYERS3 | 3219 EMERALD LN SUITE 800 JEFFERSON CITY, MT 65109 | AFLAC | $18 | $0 | $18 | — |
| CHARLES A HUTCHINSON3 | 2795 ROBERT C BYRD DRIVE BECKLEY, WV 25801 | AFLAC | $14 | $0 | $14 | — |
| TANDRA FAYE FREED3 | 719 LAWMAN AVE BRIDGEPORT, WV 26330 | AFLAC | $13 | $0 | $13 | — |
| WAYNE UZARSKI3 | 125 TECHNOLOGY DRIVE STE 201 CANONSBURG, PA 15317 | AFLAC | $11 | $0 | $11 | — |
| JAMES M BROCK3 | 3116 WILLIAMSON COUNTY PKWY MARION, IL 62959 | AFLAC | $6 | $0 | $6 | — |
| BRANDY ANN HARTIN3 | 12203 STATE STREET TAMPA, FL 33635 | AFLAC | $2 | $0 | $2 | — |
| CHARLES MARC SHOWALTER3 | 200 PENNY LN ELKVIEW, WV 25071 | AFLAC | $2 | $0 | $2 | — |
| JOHN B LACARIA3 Filed as: JOHN LKACARIA | 102 JENNIFER LN BRIDGEPORT, WV 26330 | AFLAC | $2 | $0 | $2 | — |
| DARAN L WYCKOFF3 Filed as: DARAN WYCKOFF | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $2 | $0 | $2 | — |
| BRADLEY L ELLIS3 Filed as: BRADLEY ELLIS | 6807 GRAINERY RD TIMNATH, CO 80547 | AFLAC | $2 | $0 | $2 | — |
| KRISTINE G WYCKOFF3 Filed as: KRISTINE WYCKOFF | 1417 S. MAMER LN SPOKANE VALLEY, WA 99216 | AFLAC | $1 | $0 | $1 | — |
| STEPHEN M HODGSON3 Filed as: STEPHEN HODGSON | 4430 KANAWHA TURNPIKE SOUTH CHARLESTON, WV 25309 | VISION SERVICE PLAN | $0 | $15K | $15K | — |
| DESA LLC3 | 11861 LEXINGTON DRIVE DUNKIRK, MD 20754 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $942 | $0 | $942 | — |
| JAMES D THOMAS3 | 715 LARKSPUR WAY PICKERINGTON, OH 43147 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $759 | $0 | $759 | — |
| HEALTHCARE REFORM ALTERNATIVES LLC3 | 2708 BARHARBOR CT LEWIS CENTER, OH 43035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $698 | $0 | $698 | — |
| NICK WISDA3 | 2196 TOWNSHIP ROAD 55 NEVADA, OH 44849 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $329 | $0 | $329 | — |
| MICHAEL W BOYER3 | 7587 HONDA HILLS RD THORNVILLE, OH 43076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $183 | $0 | $183 | — |
| ALAN ROSENBERGER3 | 13 PHAROAHS RD RIVERSVILLE, WV 26588 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $169 | $0 | $169 | — |
| INTRA STATE INSURANCE CORP Filed as: INTRA STATE INS. GROUP | PO BOX 5526 VIENNA, WV 26105 | NATIONAL UNION FIRE INS. CO. | $1K | $0 | $1K | — |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD STE 310 PITTSBURGH, PA 15219 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $818 | $7K | — |
| GCG FINANCIAL LLC3 Filed as: ALERA GENERAL AGENCY | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15220 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $25 | $2K | — |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC | 965 GREENTREE RD SUITE 110 PITTSBURGH, PA 15220 | METROPOLITAN LIFE INSURANCE COMPANY | $545 | $25 | $570 | — |
| ONE80 INTERMEDIARIES INC3 Filed as: ONE80 INTERMEDIARIES INC. | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | GERBER LIFE INSURANCE COMPANY | $0 | $301K | $301K | — |
| THE EMPLOYEE BENEFIT SERVICE CENTER3 | 4430 KANAWHA TURNPIKE SOUTH CHARLESTON, WV 25309 | GERBER LIFE INSURANCE COMPANY | $0 | $60K | $60K | — |
| INTRA STATE INSURANCE CORP3 Filed as: INTRA-STATE INSURANCE CORP | PO BOX 5526 VIENNA, WV 26105 | GERBER LIFE INSURANCE COMPANY | $37K | $0 | $37K | — |
| S&S HEALTHCARE3 Filed as: S & S HEALTHCARE | 1385 KEMPER MEADOW DRIVE CINCINNATI, OH 45240 | GERBER LIFE INSURANCE COMPANY | $0 | $30K | $30K | — |
| VISION SERVICE PLAN3 Filed as: VSP INSURANCE | PO BOX 742788 LOS ANGELES, CA 90074 | GERBER LIFE INSURANCE COMPANY | $0 | $15K | $15K | — |
| QUALITY CARE PARTNERS3 | 33 SOUTH 5TH STREET ZANESVILLE, OH 43701 | GERBER LIFE INSURANCE COMPANY | $0 | $12K | $12K | — |
| INTRA STATE INSURANCE CORP3 Filed as: INTRA-STATE INSURANCE CORP | PO BOX 5526 PARKERSBURGH, WV 26105 | INTRA-STATE INSURANCE CORP | $116 | $0 | $116 | — |
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 | 261 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 261 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AFLAC | 246 | $0 |
| Dental | GERBER LIFE INSURANCE COMPANY | 246 | $0 |
| Vision(3 contracts, 3 carriers) | AFLAC | 246 | $0 |
| Life insurance(5 contracts, 5 carriers) | AFLAC | 688 | $0 |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 42 | $0 |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 688 | $0 |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 246 | $0 |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 688 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 688 | — |
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.