| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TEXAS INC. | 15305 DALLAS PARKWAY SUITE 1100 ADDISON, TX 75001 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $4K | $6K | 0.20% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. - CHICAGO IL | 75 REMITTANCE DRIVE DEPT. 1446 CHICAGO, IL 60675 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 0.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA INC. | PO BOX 31817 CHARLOTTE, NC 282311817 | AMERITAS LIFE INSURANCE CORP. | $0 | $4K | $4K | 1.79% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TEXAS INC. | 15305 NORTH DALLAS PARKWAY SUITE 1100 ADDISON, TX 75001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $0 | $9K | 8.85% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 2711 N. HASKELL AVE. SUITE 800 DALLAS, TX 75204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $0 | $7K | 6.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TEXAS INC. | 15305 NORTH DALLAS PARKWAY SUITE 1100 ADDISION, TX 75001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | $360 | $5K | 9.35% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 2711 N. HASKELL AVE. SUITE 800 DALLAS, TX 75204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $0 | $4K | 6.27% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TEXAS INC. | 15305 NORTH DALLAS PARKWAY SUITE 1100 ADDISON, TX 75001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $213 | $3K | 9.64% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 2711 N HASKELL AVE. SUITE 800 DALLAS, TX 75204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 5.98% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TEXAS INC. | 15305 NORTH DALLAS PARKWAY SUITE 1100 ADDISON, TX 75001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $167 | $3K | 10.70% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 2711 N. HASKELL AVENUE SUITE 800 DALLAS, TX 75204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 4.98% |
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 | 509 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 509 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 809 | $2.7M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 750 | $233K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 809 | $2.7M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 718 | $106K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 180 | $58K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $24K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 809 | $2.7M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 611 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 809 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.