| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES LLC-NORTHEAS | NY METRO OPCO P.O. BOX 62939 VIRGINIA BEACH, VA 234662939 | MUTUAL OF OMAHA INSURANCE COMPANY | $3K | $0 | $3K | 9.21% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | LONG ISLAND OPCO P.O. BOX 62939 VIRGINIA BEACH, VA 234662939 | MUTUAL OF OMAHA INSURANCE COMPANY | $828 | $0 | $828 | 2.97% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC-NORTHEAS | NY METRO OPCO P.O. BOX 62939 VIRGINIA BEACH, VA 234662939 | COMPANION LIFE INSURANCE COMPANY | $699 | $0 | $699 | 6.53% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | LONG ISLAND OPCO P.O. BOX 62939 VIRGINIA BEACH, VA 235662939 | COMPANION LIFE INSURANCE COMPANY | $373 | $0 | $373 | 3.48% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC-NORTHEAS | NY METRO OPCO P.O. BOX 62939 VIRGINIA BEACH, VA 234662939 | MUTUAL OF OMAHA INSURANCE COMPANY | $72 | $0 | $72 | 6.50% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | LONG ISLAND OPCO P.O. BOX 62939 VIRGINIA BEACH, VA 234662939 | MUTUAL OF OMAHA INSURANCE COMPANY | $39 | $0 | $39 | 3.52% |
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 | 149 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 149 | $11K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 149 | $28K |
| Other | MUTUAL OF OMAHA INSURANCE COMPANY | 149 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.