| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9575 KATY FREEWAY HOUSTON, TX 77024 | ANTHEM HEALTH PLANS, INC. | $58K | — | $58K | 1.78% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 94520 | ANTHEM HEALTH PLANS, INC. | $50K | — | $50K | 1.54% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9575 KATY FREEWAY HOUSTON, TX 77024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| EMERSON REID LLC3 Filed as: EMERSON REID | 350 5TH AVENUE NEW YORK, NY 10118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 5.00% |
| EMERSON REID LLC3 Filed as: EMERSON REID | 350 5TH AVENUE NEW YORK, NY 10118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9575 KATY FREEWAY HOUSTON, TX 77024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 4.47% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9575 KATY FREEWAY HOUSTON, TX 77024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 5.63% |
| EMERSON REID LLC3 Filed as: EMERSON REID | 350 5TH AVENUE NEW YORK, NY 10118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON STREET NEW YORK, NY 10014 | VISION SERVICE PLAN | $2K | — | $2K | 3.88% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9575 KATY FREEWAY HOUSTON, TX 77024 | VISION SERVICE PLAN | $1K | — | $1K | 3.02% |
| EMERSON REID LLC3 Filed as: EMERSON REID | 669 RIVER DRIVE ELMWOOD PARK, NJ 07407 | VISION SERVICE PLAN | $1K | — | $1K | 2.48% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9545 KATY FREEWAY HOUSTON, TX 77024 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 6.65% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 94520 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $124 | $1K | 4.23% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | METROPOLITAN LIFE INSURANCE COMPANY | $9 | — | $9 | 0.03% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9575 KATY FREEWAY HOUSTON, TX 77024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| AMERICANIZED BENEFIT CONSULTANTS3 Filed as: AMERICANIZED BENEFIT | 9545 KATY FREEWAY HOUSTON, TX 77024 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 11.92% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 94520 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $73 | $1K | 9.08% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | METROPOLITAN LIFE INSURANCE COMPANY | $18 | — | $18 | 0.13% |
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 | 396 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 398 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | ANTHEM HEALTH PLANS, INC. | 379 | $3.3M |
| Vision | VISION SERVICE PLAN | 382 | $44K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 396 | $121K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 396 | $50K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 396 | $56K |
| Prescription drug | ANTHEM HEALTH PLANS, INC. | 309 | $3.3M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 396 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 396 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.