| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | — | DELTA DENTAL OF NEW YORK | $25K | — | $25K | 1.93% |
| LAVORO GROUP CORP3 | — | DELTA DENTAL OF NEW YORK | $2K | — | $2K | 0.16% |
| USI INSURANCE SERVICES LLC3 | 200 SUMMIT LAKE DR STE 350 PO BOX 62689 VIRGINIA BEACH, VA 23466 | FIRST UNUM LIFE INSURANCE COMPANY | $8K | $17K | $24K | 2.99% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62689 VIRGINIA BEACH, VA 23466 | FIRST UNUM LIFE INSURANCE COMPANY | $7K | $15K | $21K | 3.03% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62689 VIRGINIA BEACH, VA 23466 | FIRST UNUM LIFE INSURANCE COMPANY | $11K | $8K | $19K | 5.52% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62689 VIRGINIA BEACH, VA 23466 | FIRST UNUM LIFE INSURANCE COMPANY | $47K | $8K | $55K | 17.43% |
| USI INSURANCE SERVICES LLC3 | 8050 N UNIVERSITY DRIVE SUITE 250 TAMARAC, FL 33321 | FIRST UNUM LIFE INSURANCE COMPANY | $6K | — | $6K | 2.01% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62689 VIRGINIA BEACH, VA 23466 | FIRST UNUM LIFE INSURANCE COMPANY | $7K | $6K | $13K | 4.57% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 62689 VIRGINIA BEACH, VA 234662689 | VISION SERVICE PLAN | $4K | — | $4K | 2.32% |
| LAVORO GROUP CORP3 | 225 TECH PARK DR ROCHESTER, NY 146232444 | VISION SERVICE PLAN | $266 | — | $266 | 0.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS. NATIONAL, INC. | 201 MISSION STREET 11TH FLOOR SAN FRANCISCO, CA 94105 | EMPLOYEE SERVICES, INC. | $7K | — | $7K | 6.86% |
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 | 2,484 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 54 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,538 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW YORK | 1,693 | $1.3M |
| Vision | VISION SERVICE PLAN | 1,818 | $193K |
| Life insurance | FIRST UNUM LIFE INSURANCE COMPANY | 2,583 | $810K |
| Short-term disability(2 contracts) | FIRST UNUM LIFE INSURANCE COMPANY | 1,874 | $976K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 333 | $341K |
| Other(3 contracts, 2 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 4,625 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,625 | — |
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."
No prospect flags tripped on this filing.