| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $23K | $0 | $23K | 4.36% |
| MUNOJ BAHL3 Filed as: MUNOJ D BAHL | 3006 CLAIRMONT RD NE BROOKHAVEN, GA 30329 | UNITEDHEALTHCARE INSURANCE COMPANY | $64 | $0 | $64 | 0.01% |
| PCF INSURANCE SERVICES OF THE WEST | 2300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| PCF INSURANCE SERVICES OF THE WEST3 | 2300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 20.00% |
| PCF INSURANCE SERVICES OF THE WEST | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $277 | $2K | 17.00% |
| PCF INSURANCE SERVICES OF THE WEST | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $244 | $2K | 17.01% |
| PCF INSURANCE SERVICES OF THE WEST3 | 2300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 20.00% |
| PCF INSURANCE SERVICES OF THE WEST3 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| GLOBAL FINANCIAL SERVICES3 | 3006 CLAIRMONT ROAD BROOKHAVEN, GA 30329 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $342 | $49 | $391 | 3.98% |
| SHERI MICHELL BAHL3 Filed as: SHERI MICHELLE BAHL | 1895 HAM DR ATLANTA, GA 30341 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $241 | $25 | $266 | 2.71% |
| JUAN CARLOS SUAREZ3 | 5415 BRIDGEGATE DR WINSTON SALEM, NC 27106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $224 | $38 | $262 | 2.67% |
| R J K & ASSOCIATES INC3 | 777 DREWRY ST NE ATLANTA, GA 30306 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $109 | — | $109 | 1.11% |
| MICHAEL PATE3 | 557 GRAVES RD WEDOWEE, AL 36278 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $101 | — | $101 | 1.03% |
| PLM SOLUTIONS INC3 | 1200 LAKE POINT VISTA HOOVER, AL 35244 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 0.42% |
| BURTON M HERRING JR3 | 922 OLD FEDERAL RD SHORTER, AL 36075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | $2 | $38 | 0.39% |
| Z3 ENTERPRISES INC3 | 4807 WHISPER OAK DR TRINITY, NC 27370 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $15 | $34 | 0.35% |
| SWIDPRO LLC3 | 3316 SINGLELEAF LN RALEIGH, NC 27616 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $15 | $33 | 0.34% |
| CAROLE H WARREN3 | 2716 HANOVER CIR S APT 801 BIRMINGHAM, AL 35205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.14% |
| MARK PAGE3 | 311 MARSH OAKS DR WILMINGTON, NC 28411 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.06% |
| BENEFITS COUNT INC3 Filed as: BENEFITS COUNT LI INC | 1401 CHRISTMAS CT RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.02% |
| JASON DOUGLAS WISE3 | 8257 PRIMANTI BLVD RALEIGH, NC 27612 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| PCF INSURANCE SERVICES OF THE WEST3 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $171 | $1K | 15.00% |
| SHERI MICHELL BAHL3 | 1895 HAM DR ATLANTA, GA 30341 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $499 | $54 | $553 | 14.65% |
| BURTON M HERRING JR3 | 922 OLD FEDERAL RD SHORTER, AL 36075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $165 | $7 | $172 | 4.56% |
| GLOBAL FINANCIAL SERVICES3 | 3006 CLAIRMONT ROAD BROOKHAVEN, GA 30329 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $57 | $96 | $153 | 4.05% |
| JUAN CARLOS SUAREZ3 | 5415 BRIDGEGATE DR WINSTON SALEM, NC 27106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $130 | $22 | $152 | 4.03% |
| MICHAEL PATE3 | 557 GRAVES RD WEDOWEE, AL 36278 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | — | $83 | 2.20% |
| SWIDPRO LLC3 | 3316 SINGLELEAF LN RALEIGH, NC 27616 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $10 | $22 | 0.58% |
| PCF INSURANCE SERVICES OF THE WEST | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $484 | $75 | $559 | 15.01% |
| PCF INSURANCE SERVICES OF THE WEST | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $495 | $66 | $561 | 17.02% |
| PCF INSURANCE SERVICES OF THE WEST3 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $361 | $56 | $417 | 15.02% |
| PCF INSURANCE SERVICES OF THE WEST3 | 2300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $209 | — | $209 | 9.99% |
| PCF INSURANCE SERVICES OF THE WEST3 | 2300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $47 | $0 | $47 | 10.02% |
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 | 350 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 350 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 102 | $551K |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 146 | $70K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 146 | $70K |
| Life insurance(3 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 350 | $23K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 40 | $11K |
| Other(9 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 68 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 350 | — |
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.