| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WAYNE ZUCKERMAN3 | 18062 IRVINE BOULEVARD SUITE 305 TUSTIN, CA 92780 | KAISER FOUNDATION HEALTH PLAN INC | $3K | $0 | $3K | 0.12% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $122K | $14K | $136K | 6.93% |
| NICHOLAS J. MARINO & CO.3 Filed as: NICHOLAS J. MARINO | 3 MARCUS BOULEVARD SUITE 205 ALBANY, NY 12205 | CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | $32K | $0 | $32K | 4.24% |
| ALKALI LLC3 | UNKNOWN RIVER PEARL, NY 10965 | BLUE CROSS BLUE SHIELD OF TEXAS | $23K | $0 | $23K | 5.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS. AND FIN. SVCS. | UNKNOWN PEARL RIVER, NY 10965 | BLUE CROSS BLUE SHIELD OF TEXAS | $0 | $7K | $7K | 1.53% |
| BRAD A. ROBERTSON3 | 315 WEST MAIN STREET TUPELO, MS 38804 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $0 | $20K | 15.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS CAPITAL INC | 200 COLONIAL CENTER PKWY SUITE 140 LAKE MARY, FL 32746 | HEALTH RESOURCES, INC | $5K | $0 | $5K | 4.56% |
| HOUCHENS INSURANCE GROUP INC3 Filed as: HOUCHENS INSURANCE GROUP | 1750 SCOTTSVILLE ROAD SUITE 4 BOWLING GREEN, KY 42103 | HEALTH RESOURCES, INC | $523 | $0 | $523 | 0.44% |
| HOCK & ASSOCIATES INC.3 Filed as: HOCK AND ASSOCIATES, INC. | UNKNOWN PEARL RIVER, NY 10965 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $9K | $0 | $9K | 10.00% |
| ASSUREDPARTNERS3 | 1925 FREDERICA STREET OWENSBORO, KY 42301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $321 | $13K | 15.39% |
| NICHOLAS MARION & CO3 | UNKNOWN PEARL RIVER, NY 10965 | DELTA DENTAL OF NEW YORK | $4K | $0 | $4K | 5.00% |
| RENASANT INSURANCE AGENCY3 | UNKNOWN TUPELO, MS 38802 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 7.42% |
| DAVID STEPHENS3 | 2240 MILITARY ROAD COLUMBUS, MS 39705 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $369 | $4K | 6.50% |
| KIMBERLY YATES PUGH3 | 407 OLD HIGHWAY 10 CEDAR BLUFF, MS 39741 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $40 | $3K | 4.56% |
| MELISSA WALKER3 | 121 MOTLEY ROAD COLUMBUS, MS 39701 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.15% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LEGALPLANS, USA | $6K | $0 | $6K | 10.00% |
| NICHOLAS J. MARINO & CO.3 Filed as: NICHOLAS J. MARINO AND COMPANY INC. | 3 MARCUS BOULEVARD SUITE 205 ALBANY, NY 12205 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 9.49% |
| ACCLAIM, INC.3 Filed as: ACCLAIM INC. | 808 VARSITY DRIVE TUPELO, MS 38801 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $868 | $0 | $868 | 1.78% |
| ALLEN FINANCIAL GROUP, PA3 | PO BOX 13128 JACKSON, MS 39211 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $17 | $0 | $17 | 0.03% |
| HOCK & ASSOCIATES INC.3 Filed as: HOCK AND ASSOCIATES, INC. | 3520 STEVENS WAY AUGUSTA, GA 30907 | GREATER GEORGIA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 17.89% |
| ALKALI LLC3 | 2301 OHIO DRIVE SUITE 260 PLANO, TX 75093 | COMPANION LIFE INSURANCE | $926 | $0 | $926 | 3.10% |
| GERALD G. HARTMAN3 Filed as: GERALD HARTMAN | 1487 SOUTH DAVID LANE BOISE, ID 83705 | COMPANION LIFE INSURANCE | $463 | $0 | $463 | 1.55% |
| C.E.S. INSURANCE AGENCY3 | 29 SAWYER ROAD WALTHAM, MA 02453 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | $472 | $4K | 15.26% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF KENTUCKY | PO BOX 23410 LOUISVILLE, KY 40232 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 9.24% |
| ASSUREDPARTNERS3 | 5905 EAST GALBRAITH ROAD SUITE 5000 CINCINNATI, OH 45236 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $311 | $0 | $311 | 1.37% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: NEACE LUKENS INC | 2305 RIVER ROAD LOUISVILLE, KY 40206 | TRUSTMARK INSURANCE COMPANY | $12K | $0 | $12K | 57.07% |
| HOCK & ASSOCIATES INC.3 Filed as: HOCK AND ASSOCIATES INC. | 3520 STEVENS WAY AGUSTA, GA 30907 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $69K | $0 | $69K | 392.66% |
| HOCK & ASSOCIATES INC.3 Filed as: HOCK AND ASSOCIATES INC. | PO BOX 211584 AGUSTA, GA 30917 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $0 | $82 | $82 | 0.47% |
| ALKALI LLC3 | 2301 OHIO DRIVE SUITE 260 PLANO, TX 75093 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $279 | $0 | $279 | 15.05% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS. AND FIN. SVCS. | 4851 LJB FREEWAY SUITE 100 DALLAS, TX 75244 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $0 | $93 | $93 | 5.02% |
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 | 3,604 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 79 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,683 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 1,190 | $7.9M |
| Dental(4 contracts, 4 carriers) | HEALTH RESOURCES, INC | 342 | $366K |
| Vision(3 contracts, 3 carriers) | VISION SERVICE PLAN | 3,023 | $611K |
| Life insurance(9 contracts, 9 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,604 | $2.4M |
| Short-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,604 | $2.1M |
| Long-term disability(5 contracts, 5 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,604 | $2.3M |
| Prescription drug(6 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 1,190 | $7.9M |
| Other(10 contracts, 10 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 12,065 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,065 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.