| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $11K | $11K | 1.05% |
| BIG O E ENTERPRISE LLC4 | 1625 SW 5TH STREET HOMESTEAD, FL 33030 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $6K | $0 | $6K | 12.86% |
| ENTERPRISES INC ERDLEE4 | PO BOX 691897 ORLANDO, FL 32869 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $240 | $0 | $240 | 0.56% |
| SELF DEFINED INC4 | 14300 TURNER WOOTTON PARKWAY UPPER MARLBORO, MD 20774 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $240 | $0 | $240 | 0.56% |
| OBVIOUS EXPERT MARKETING LLC4 | PMB 18787 411 WALNUT STREET GREEN COVE SPRINGS, FL 32043 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $82 | $0 | $82 | 0.19% |
| BRIAN CARRUTHERS LLC4 | 43604 TUCKAWAY PLACE LEESBURG, VA 20176 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $82 | $0 | $82 | 0.19% |
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 | 1,333 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,333 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,191 | $150K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,333 | $1.1M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,333 | $1.1M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,333 | $1.1M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,333 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,333 | — |
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."
No prospect flags tripped on this filing.