| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE INC. | PO BOX 13784 NEWARK, NJ 07188 | AETNA LIFE INSURANCE CO. | $16K | $14K | $30K | 0.78% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NC LLC | 1007 BATTLEGROUND AVE STE 103 GREENSBORO, NC 27408 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 0.19% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE INC. | 225 SCHILLING CIR STE 150 HUNT VALLEY, MD 21030 | UNITEDHEALTHCARE INSURANCE COMPNAY | $38K | — | $38K | 5.81% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NC LLC | 1007 BATTLEGROUND AVE STE 103 GREENSBORO, NC 27408 | UNITEDHEALTHCARE INSURANCE COMPNAY | $27K | — | $27K | 4.19% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE | PO BOX 13784 NEWARK, NJ 07188 | UNUM LIFE INSURANCE COMPANY | $21K | $2K | $23K | 7.73% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NC | PO BOX 15946 GREENSBORO, NC 27415 | UNUM LIFE INSURANCE COMPANY | $12K | — | $12K | 4.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE | PO BOX 13784 NEWARK, NJ 07188 | METLIFE | $13K | — | $13K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE | PO BOX 13784 NEWARK, NJ 07188 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $631 | $6K | 7.31% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NC | PO BOX 14946 GREENSBORO, NC 27415 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 4.43% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE INC. | 225 SCHILLING CIRCLE STE 150 HUNT VALLEY, MD 21031 | NATIONAL VISION ADMINISTRATORS LLC | $3K | — | $3K | 5.99% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS CAPITAL | 1007 BATTLEGROUND AVE STE 103 GREENSBORO, NC 27408 | NATIONAL VISION ADMINISTRATORS LLC | $2K | — | $2K | 4.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWER WATSON SE | PO BOX 13784 NEWARK, NJ 07188 | UNUM LIFE INSURANCE COMPANY | — | $103 | $103 | 0.71% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN& BROWN INSURANCE | 11220 ASSETT LOOP MANASSAS, VA 20109 | ACE AMERICAN INSURANCE COMPANY | $919 | — | $919 | 15.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE | PO BOX 13784 NEWARK, NJ 07188 | UNUM LIFE INSURANCE COMPANY | — | $60 | $60 | 1.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILLIS TOWERS WATSON SE INC. EIN 62-1404453 BROKER | Contract Administrator; Claims processing Service code 12 | — | $89K |
| ASSUREDPARTNERS OF NC LLC EIN 90-0903844 BROKER | Claims processing; Contract Administrator Service code 12 | — | $44K |
| UNUM EIN 01-0278678 ASO FEES | Claims processing; Contract Administrator Service code 12 | — | $20K |
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 | 680 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 40 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 728 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 664 | $4.6M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 664 | $4.5M |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPNAY | 331 | $704K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY | 481 | $430K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY | 15 | $15K |
| Long-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY | 481 | $430K |
| Prescription drug(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 664 | $4.6M |
| Other(5 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY | 481 | $526K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 664 | — |
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.