| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUG W CLATTERBUCK3 | 2066 NATIONAL ROAD WHEELING, WV 26003 | AFLAC | $782 | $0 | $782 | — |
| JAYDE F HARFORD3 | 940 BUFFINGTON ROAD NEW SALEM, PA 15468 | AFLAC | $588 | $0 | $588 | — |
| DIANNA KIRK3 | 1025 SHAWNEE TRI ELKVIEW, WV 25071 | AFLAC | $264 | $0 | $264 | — |
| BRANDON L MILLER3 | 5852 EMPIRE MILLS RUN CANAL WINCHESTER, OH 43110 | AFLAC | $113 | $0 | $113 | — |
| JEFFERY CORREAL3 | 442 DUCK HOLLOW ROAD UNIONTOWN, PA 15401 | AFLAC | $104 | $0 | $104 | — |
| CHARLES A HUTCHINSON3 | 2795 ROBERT C BYRD DRIVE BECKLEY, WV 25801 | AFLAC | $87 | $0 | $87 | — |
| SUSAN BALL3 | 203 DESERT SKY DRIVE MC GREGOR, TX 76657 | AFLAC | $78 | $0 | $78 | — |
| KATHY J DENT3 | 124 MARGY LN SOUTH CHARLESTON, WV 25309 | AFLAC | $77 | $0 | $77 | — |
| JENNIFER M HAIR3 | 2915 SIDNEY ST APT 210 PITTSBURGH, PA 15203 | AFLAC | $67 | $0 | $67 | — |
| JORN EARL OTTE3 | 1119 MAXWELL HILL ROAD BECKLEY, WV 25801 | AFLAC | $64 | $0 | $64 | — |
| TYRONE K PERSINGER3 | 998 KELLY HILL ROAD CLENDENIN, WV 25045 | AFLAC | $43 | $0 | $43 | — |
| MARK D JONES3 | 306 CUNNINGHAM RUN ROAD PENNSBORO, WV 26415 | AFLAC | $39 | $0 | $39 | — |
| CHARLES E MCNEIL3 | 817 SCOTT DEPOT ROAD SCOTT DEPOT, WV 25560 | AFLAC | $38 | $0 | $38 | — |
| DIANNA BOSSIE3 | 5611 KANAWHA AVE SE CHARLESTON, WV 25304 | AFLAC | $25 | $0 | $25 | — |
| LESLIE K KIMBROUGH3 Filed as: LESLIE K KIMBROUGHJ | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $25 | $0 | $25 | — |
| WAYNE UZARSKI3 Filed as: WAYNE J UZARSKI | 125 TECHNOLOGY DRIVE STE 201 CANONSBURG, PA 15317 | AFLAC | $23 | $0 | $23 | — |
| DENNIS HARTIN3 Filed as: DENNIS SCOTT HARTIN | 12203 STATE STREET TAMPA, FL 33635 | AFLAC | $22 | $0 | $22 | — |
| RPM LTD3 | PO BOX 1016 YULEE, FL 32041 | AFLAC | $21 | $0 | $21 | — |
| BRYAN C SWYERS3 | 2429 HYDE PARK RD JEFFERSON CITY, MT 65109 | AFLAC | $19 | $0 | $19 | — |
| VINCENT ROBERT DELUCY3 | 17 VALLEY VIEW TER RICHMONDALE, PA 18421 | AFLAC | $19 | $0 | $19 | — |
| TANDRA FAYE FREED3 | 719 LAWMAN AVE BRIDGEPORT, WV 26330 | AFLAC | $15 | $0 | $15 | — |
| TIMOTHY L HARFORD3 | PO BOX 173 NEW SALEM, PA 15468 | AFLAC | $14 | $0 | $14 | — |
| BRIAN CUMPTAN3 | 320 9TH STREET STE 200 HUNTINGTON, WV 25701 | AFLAC | $11 | $0 | $11 | — |
| JAMES M BROCK3 | 3116 WILLIAMSON COUNTY PKWY MARION, IL 62959 | AFLAC | $9 | $0 | $9 | — |
| BRANDY ANN HARTIN3 | 12203 STATE STREET TAMPA, FL 33635 | AFLAC | $3 | $0 | $3 | — |
| CHRISTOPHER SMITH3 | 19 OLD CROW DRIVE BARBOURSVILLE, WV 25504 | AFLAC | $3 | $0 | $3 | — |
| CHARLES MARC SHOWALTER3 | 200 PENNY LN ELKVIEW, WV 25071 | AFLAC | $3 | $0 | $3 | — |
| JOHN B LACARIA3 | 102 JENNIFER LN BRIDGEPORT, WV 26330 | AFLAC | $3 | $0 | $3 | — |
| JUSTIN W DAVIS3 | 300 LIVE OAK CT SALEM, VA 24153 | AFLAC | $2 | $0 | $2 | — |
| THOMAS J STEPHENSON3 | 31 SADELMAN CT CARTERSVILLE, GA 30120 | AFLAC | $2 | $0 | $2 | — |
| DARAN L WYCKOFF3 | PO BOX31233 SPOKANE, WA 99223 | AFLAC | $2 | $0 | $2 | — |
| BRADLEY L ELLIS3 | 6807 GRAINEY RD TIMNATH, CO 80547 | AFLAC | $2 | $0 | $2 | — |
| KRISTINE G WYCKOFF3 | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $1 | $0 | $1 | — |
| STEPHEN M HODGSON3 | 4430 KANAWHA TPKE CHARLESTON, WV 25309 | VISION SERVICE PLAN | $993 | $0 | $993 | — |
| 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 | 2706 BAR HARBOUR CT LEWIS CENTER, OH 43035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $698 | $0 | $698 | — |
| NICK WISDA3 | 196 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 RUN RD RIVERSVILLE, WV 26588 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $169 | $0 | $169 | — |
| INTRA STATE INSURANCE CORP3 Filed as: INTRA STATE INS. CORP. | PO BOX 5526 VIENNA, WV 26105 | NATIONAL UNION FIRE INS. | $0 | $0 | $0 | — |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD STE 310 PITTSBURGH, PA 15219 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $724 | $5K | — |
| GCG FINANCIAL LLC3 Filed as: ALERO GROUP INC | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15220 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | — |
| INTRA STATE INSURANCE CORP3 | PO BOX 5526 PARKERSBURG, WV 26105 | INTRA STATE INSURANCE COMPANY | $210 | $0 | $210 | — |
| NORTHWIND LLC3 | 3162 PHOENIXVILLE PIKE MALVERN, PA 19355 | STANDARD LIFE & ACCIDENT INSURANCE CO. | $0 | $288K | $288K | — |
| THE EMPLOYEE BENEFIT SERVICE CENTER3 | 4430 KANAWHA TURNPIKE SOUTH CHARLESTON, WV 25309 | STANDARD LIFE & ACCIDENT INSURANCE CO. | $0 | $48K | $48K | — |
| S&S HEALTH CARE3 Filed as: S & S HEALTH CARE | 1385 KEMPER MEADOW DRIVE CINCINNATI, OH 45240 | STANDARD LIFE & ACCIDENT INSURANCE CO. | $0 | $42K | $42K | — |
| INTRA STATE INSURANCE CORP3 Filed as: INTRA-STATE INSURANCE CORP. | PO BOX 5526 VIENNA, WV 26105 | STANDARD LIFE & ACCIDENT INSURANCE CO. | $36K | $0 | $36K | — |
| VISION SERVICE PLAN3 Filed as: VSP INSURANCE | PO BOX 742788 LOS ANGELES, CA 90074 | STANDARD LIFE & ACCIDENT INSURANCE CO. | $0 | $14K | $14K | — |
| QUALITY CARE PARTNERS3 | 33 SOUTH 5TH STREET ZANESVILLE, OH 43701 | STANDARD LIFE & ACCIDENT INSURANCE CO. | $0 | $12K | $12K | — |
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) | AFLAC | 28 | $0 |
| Vision(2 contracts, 2 carriers) | AFLAC | 117 | $0 |
| Life insurance(5 contracts, 5 carriers) | AFLAC | 479 | $0 |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 42 | $0 |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 479 | $0 |
| Stop-loss / reinsurancereinsurance | STANDARD LIFE & ACCIDENT INSURANCE CO. | 233 | $0 |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 479 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 479 | — |
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.