| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 914 JUDSON ROAD LONGVIEW, TX 75601 | HIGHMARK NEW YORK | $58K | — | $58K | 9.61% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $8K | — | $8K | 10.00% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $6K | — | $6K | 10.00% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $8K | — | $8K | 15.00% |
| USI INSURANCE SERVICES LLC | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 7.24% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $3K | — | $3K | 14.54% |
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 | 405 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 405 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK NEW YORK | 289 | $599K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 251 | $32K |
| Life insurance(2 contracts) | PRUDENTIAL FINANCIAL | 405 | $133K |
| Long-term disability(2 contracts) | PRUDENTIAL FINANCIAL | 405 | $76K |
| Prescription drug | HIGHMARK NEW YORK | 289 | $599K |
| Other | HIGHMARK NEW YORK | 289 | $599K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 405 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.