| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD STE 310 PITTSBURGH, PA 15220 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $1K | $7K | 11.61% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC DBA ARMS | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15220 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.13% |
| ARMS INSURANCE GROUP LLC3 | 965 GREENTREE RD STE 110 PO BOX 4 PITTSBURGH, PA 15220 | PRINCIPAL LIFE INSURANCE COMPANY | $760 | $1K | $2K | 3.40% |
| JAYDE F HARFORD3 | 940 BUFFINGTON ROAD NEW SALEM, PA 15468 | AFLAC | $2K | $366 | $2K | 5.13% |
| DOUG W CLATTERBUCK3 | 2066 NATIONAL RD WHEELING, WV 26003 | AFLAC | $2K | $0 | $2K | 4.58% |
| JENNIFER M HAIR3 | 29 OAKVILLE CT APT 2B PITTSBURGH, PA 15220 | AFLAC | $339 | $73 | $412 | 0.93% |
| DIANNA KIRK3 | 1025 SHAWNEE TRL ELKVIEW, WV 25071 | AFLAC | $352 | $0 | $352 | 0.79% |
| JEFFEY CORREAL3 | 442 DUCK HOLLOW RD UNIONTOWN, PA 15401 | AFLAC | $230 | $73 | $303 | 0.68% |
| CHARLES A HUTCHINSON3 Filed as: CHARLES A HUTCHISON | 2795 ROBERT C BYRD DR BECKLEY, WV 25801 | AFLAC | $119 | $0 | $119 | 0.27% |
| BRANDON L MILLER3 | 5852 EMPIRE MILLS RUN CANAL WINCHESTER, OH 43110 | AFLAC | $115 | $0 | $115 | 0.26% |
| SUSAN BALL3 | 203 DESERT SKY DR MCGREGOR, TX 76657 | AFLAC | $83 | $0 | $83 | 0.19% |
| JORN EARL OTTE3 | 1119 MAXWELL HILL RD BECKLEY, WV 25801 | AFLAC | $81 | $0 | $81 | 0.18% |
| KATHY J DENT3 | 124 MARGY LN SOUTH CHARLES, WV 25309 | AFLAC | $65 | $0 | $65 | 0.15% |
| TYRONE K PERSINGER3 | 998 KELLY HILL RD CLENDENIN, WV 25045 | AFLAC | $52 | $0 | $52 | 0.12% |
| CHARLES E MCNEIL3 | 817 SCOTT DEPOT RD SCOTT DEPOT, WV 25560 | AFLAC | $44 | $0 | $44 | 0.10% |
| MARK D JONES3 | 306 CUNNINGHAM RUN RD PENNSBORO, WV 26415 | AFLAC | $41 | $0 | $41 | 0.09% |
| LESLIE K KIMBROUGH3 | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $38 | $0 | $38 | 0.09% |
| JEFFREY CORREAL3 | 420 JENNY LN UNIONTOWN, PA 15401 | AFLAC | $38 | $0 | $38 | 0.09% |
| TANDRA FAYE FREED3 | 719 LAWMAN AVE BRIDGEPORT, WV 26330 | AFLAC | $36 | $0 | $36 | 0.08% |
| WAYNE UZARSKI3 Filed as: WAYNE J UZARSKI | 125 TECHNOLOGY DR STE 201 CANNONSBURG, PA 15317 | AFLAC | $36 | $0 | $36 | 0.08% |
| BRYAN C SWYERS3 | 2429 HYDE PARK RD JEFFERSON CITY, MO 65109 | AFLAC | $32 | $0 | $32 | 0.07% |
| RPM LTD3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $26 | $0 | $26 | 0.06% |
| DENNIS HARTIN3 Filed as: DENNIS SCOTT HARTIN | 12203 STATE ST TAMPA, FL 33635 | AFLAC | $25 | $0 | $25 | 0.06% |
| JAMES STIMMELL3 | 253 S MOUNT VERNON AVE UNIONTOWN, PA 15401 | AFLAC | $22 | $0 | $22 | 0.05% |
| DIANA BOSSIE3 | 5611 KANAWHA AVE SE CHARLESTON, WV 25304 | AFLAC | $21 | $0 | $21 | 0.05% |
| BRIAN CUMPTAN3 | 320 9TH ST STE 200 HUNTINGTON, WV 25701 | AFLAC | $15 | $0 | $15 | 0.03% |
| JAMES DANIEL MARTINETTE3 Filed as: JAMES R KUCERA | 639 N ERIE ST WHEELING, WV 26003 | AFLAC | $14 | $0 | $14 | 0.03% |
| TIMOTHY L HARFORD3 | PO BOX 173 NEW SALEM, PA 15468 | AFLAC | $10 | $0 | $10 | 0.02% |
| LINDA P FOSCO3 | 5710 VICTORY AVE CHARLESTON, WV 25304 | AFLAC | $9 | $0 | $9 | 0.02% |
| JAMES M BROCK3 | 3116 WILLIAMSON COUNTY PKWY MARION, IL 62959 | AFLAC | $7 | $0 | $7 | 0.02% |
| WILLIAM O CORNELL3 | 121 LIME RD NE LAKE PLACID, FL 33852 | AFLAC | $5 | $0 | $5 | 0.01% |
| TIMOTHY ALLEN JAMES3 | 2967 TRACE CREEK RD HURRICANE, WV 25526 | AFLAC | $5 | $0 | $5 | 0.01% |
| BRANDY ANN HARTIN3 | 12203 STATE ST TAMPA, FL 33635 | AFLAC | $4 | $0 | $4 | 0.01% |
| BRADLEY L ELLIS3 | 6807 GRAINERY RD TIMNATH, CO 80547 | AFLAC | $4 | $0 | $4 | 0.01% |
| DARAN L WYCKOFF3 | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $4 | $0 | $4 | 0.01% |
| SANDRA GAIL MEADOWS3 | 440 HILL ST MADISON, WV 25130 | AFLAC | $3 | $0 | $3 | 0.01% |
| CHRISTOPHER SMITH3 | 19 OLD CROW DR BARBOURSVILLE, WV 25504 | AFLAC | $3 | $0 | $3 | 0.01% |
| JOHN B LACARIA3 | 102 JENNIFER LN BRIDGEPORT, WV 26330 | AFLAC | $3 | $0 | $3 | 0.01% |
| KRISTINE G WYCKOFF3 | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $2 | $0 | $2 | 0.00% |
| THOMAS J STEPHENSON3 | 31 STADELMAN CT CARTERSVILLE, GA 30120 | AFLAC | $2 | $0 | $2 | 0.00% |
| JUSTIN W DAVIS3 | 300 LIVE OAK CT SALEM, VA 24153 | AFLAC | $2 | $0 | $2 | 0.00% |
| RODNEY BALLANCE JR3 Filed as: RODNEY D BALLANCE JR | 1235 GARRETT RD WILLIAMSTON, NC 27892 | AFLAC | $2 | $0 | $2 | 0.00% |
| CHARLES MARC SHOWALTER3 | 200 PENNY LN ELKVIEW, WV 25071 | AFLAC | $2 | $0 | $2 | 0.00% |
| PAUL B BROUCHOUD3 Filed as: PAUL B BROCHOUD | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $1 | $0 | $1 | 0.00% |
| DESA LLC3 | 11861 LEXINGTON DRIVE DUNKIRK, MD 20754 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.50% |
| JAMES D THOMAS3 | 5451 ST ANDREWS DR WESTERVILLE, OH 43082 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $849 | $0 | $849 | 2.01% |
| HEALTHCARE REFORM ALTERNATIVES LLC3 | 2706 BAR HARBOUR CT LEWIS CENTER, OH 43035 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $781 | $0 | $781 | 1.85% |
| NICK WISDA3 | 2196 TOWNSHIP RD 55 NEVADA, OH 44849 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $366 | $0 | $366 | 0.87% |
| MICHAEL W BOYER3 | 7587 HONDA HILLS RD THORNVILLE, OH 43076 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $204 | $0 | $204 | 0.48% |
| ALAN ROSENBERGER3 | 13 PHAROAHS RUN RD RIVESVILLE, WV 26588 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $195 | $0 | $195 | 0.46% |
| ROGERS BENEFIT GROUP INC3 Filed as: PATRICK MICHAEL ROGERS | 137 CAMELOT CIRCLE CORAOPOLIS, PA 15108 | COLONAIL LIFE & ACCIDENT INSURANCE COMPANY | $89 | $0 | $89 | 0.21% |
| STEPHEN M HODGSON3 | 4430 KANAWHA TPKE CHARLESTON, WV 25309 | VISION SERVICE PLAN | $954 | $0 | $954 | 6.06% |
| INTRA STATE INSURANCE CORP3 Filed as: INTRA-STATE INSURANCE CORP | PO BOX 5526 PARKERSBURG, WV 26105 | ERIE FAMILY LIFE | $653 | $181 | $834 | 12.78% |
| INTRA STATE INSURANCE CORP3 Filed as: INTRA STATE INS CORP | PO BOX 5526 VIENNA, WV 26105 | NATIONA UNION FIRE INSURANCE CO OF PITTSBURGH | $440 | $0 | $440 | 14.99% |
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 | 247 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 247 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 111 | $16K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 480 | $58K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 480 | $58K |
| Other(4 contracts, 4 carriers) | AFLAC | 49 | $96K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 480 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.