| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GA | PO BOX 904037 CHARLOTTE, NC 28290 | HARTFORD LIFE AND ACCIDENT | $19K | — | $19K | 4.75% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF GA INC | PO BOX 905260 CHARLOTTE, NC 28290 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $2K | $5K | 4.97% |
| KURT LOVELL3 | 100 WILLIAM ST SUITE 300 WELLESLEY, MA 02481 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.32% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND FINANCIAL/SECURITIES | 1095 AVE OF THE AMERICAS NEW YORK, NY 10036 | METROPOLITAN LIFE INSURANCE COMPANY | — | $570 | $570 | 0.57% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GA INC. | 806 TYVOLA ROAD SUITE 108 CHARLOTTE, NC 28217 | VISION SERVICE PLAN | $2K | — | $2K | 3.14% |
| AON CONSULTING INC3 | PO BOX 905494 CHARLOTTE, NC 28290 | HARTFORD LIFE AND ACCIDENT | $207 | — | $207 | 11.18% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GA | PO BOX 904037 CHARLOTTE, NC 28290 | HARTFORD LIFE AND ACCIDENT | $108 | — | $108 | 5.83% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 191 | $99K |
| Vision | VISION SERVICE PLAN | 402 | $65K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 495 | $496K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 495 | $396K |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 495 | $497K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 495 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.