| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES HOUSTON LLC | 1120 SANCTUARY PARKWAY, SUITE 300 ALPHARETTA, GA 300097631 | METROPOLITAN LIFE INSURANCE COMPANY | $43K | $43 | $43K | 2.03% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES HOU | 5847 SAN FELIPE SUITE 2750 HOUSTON, TX 77057 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $20K | — | $20K | 2.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES HOU | 5847 SAN FELIPE SUITE 2750 HOUSTON, TX 77057 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 2.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES HOU | 5847 SAN FELIPE, SUITE 2750 HOUTSON, TX 77057 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $931 | — | $931 | 2.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES HOU | 5847 SAN FELIPE SUITE 2750 HOUSTON, TX 77057 | FIRST UNUM LIFE INSURANCE COMPANY | $210 | — | $210 | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $1.6M |
| UNUM LIFE INSURANCE COMPANY OF AMER EIN 01-0278678 N/A | Other services Service code 49 | — | $62K |
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 | 4,171 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED BEHAVIORAL HEALTH DBA OPTUM | 2,090 | $43K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 4,171 | $2.1M |
| Vision | VISION SERVICE PLAN | 1,491 | $360K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,824 | $1.7M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 253 | $47K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,824 | $999K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,761 | $975K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,824 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,171 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.