| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 8360 WEST SAHARA AVENUE, SUITE 110 LAS VEGAS, NV 89117 | PROMINENCE HEALTH PLAN | $39K | $0 | $39K | 2.44% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | $0 | $10K | 7.19% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62937 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $4K | $4K | 3.11% |
| USI INSURANCE SERVICES LLC3 | 8360 WEST SAHARA AVENUE, SUITE 110 LAS VEGAS, NV 89117 | PREMIER ACCESS INSURANCE COMPANY | $4K | $0 | $4K | 4.93% |
| USI INSURANCE SERVICES LLC3 | 8311 WEST SUNSET ROAD, SUITE 120 LAS VEGAS, NV 89113 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| ORGILL/SINGER & ASSOCIATES INC4 Filed as: ORGILL SINGER & ASSOCIATES | 8360 WEST SAHARA AVENUE, SUITE 110 LAS VEGAS, NV 89117 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $141 | $0 | $141 | 12.62% |
| MURFF MEDIA, LLC4 | 3776 HOWARD HUGHES PARKWAY UNIT 532 LAS VEGAS, NV 89169 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $31 | $0 | $31 | 2.78% |
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 | 314 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 315 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROMINENCE HEALTH PLAN | 289 | $1.6M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 340 | $84K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 328 | $17K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 332 | $134K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 332 | $134K |
| Prescription drug | PROMINENCE HEALTH PLAN | 289 | $1.6M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 332 | $141K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.