| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 4.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE | 100 SUNNYSIDE BLVD. WOODBURY, NY 11797 | AETNA LIFE INSURANCE COMPANY | — | $3K | $3K | 4.33% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | MUTUAL OF OMAHA INSURANCE COMPANY | $3K | — | $3K | 11.22% |
| BRITTNEY BELLO3 | 4170 DOUGLAS BLVD., SUITE 100 GRANITE BAY, CA 95746 | MUTUAL OF OMAHA INSURANCE COMPANY | $204 | — | $204 | 0.77% |
| THE PAUL REVERE LIFE INSURANCE3 | P.O. BOX 1365 COLUMBIA, SC 29202 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $18 | $2K | 7.17% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | COMPANION LIFE INSURANCE COMPANY | $1K | — | $1K | 9.21% |
| BRITTNEY BELLO3 | 4170 DOUGLAS BLVD., SUITE 100 GRANITE BAY, CA 95746 | COMPANION LIFE INSURANCE COMPANY | $127 | — | $127 | 0.79% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | COMPANION LIFE INSURANCE COMPANY | $1K | — | $1K | 9.37% |
| BRITTNEY BELLO3 | 4170 DOUGLAS BLVD., SUITE 100 GRANITE BAY, CA 95746 | COMPANION LIFE INSURANCE COMPANY | $101 | — | $101 | 0.63% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | MUTUAL OF OMAHA INSURANCE COMPANY | $1K | — | $1K | 9.19% |
| BRITTNEY BELLO3 | 4170 DOUGLAS BLVD., SUITE 100 GRANITE BAY, CA 95746 | MUTUAL OF OMAHA INSURANCE COMPANY | $109 | — | $109 | 0.81% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | GUARDIAN | $682 | — | $682 | 8.81% |
| LEANN O'HARA3 | 361 E MANHASSET STREET TERRACE, NY 11752 | GUARDIAN | $44 | — | $44 | 0.57% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | MUTUAL OF OMAHA INSURANCE COMPANY | $287 | — | $287 | 9.22% |
| BRITTNEY BELLO3 | 4170 DOUGLAS BLVD., SUITE 100 GRANITE BAY, CA 95746 | MUTUAL OF OMAHA INSURANCE COMPANY | $25 | — | $25 | 0.80% |
| COLONIAL LIFE & ACCIDENT3 | P.O. BOX 1365 COLUMBIA, SC 29202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | — | $50 | 6.72% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC. | 1701 GOLF ROAD ROLLING MEADOW, IL 60008 | MUTUAL OF OMAHA INSURANCE COMPANY | $63 | — | $63 | 9.25% |
| BRITTNEY BELLO3 | 4170 DOUGLAS BLVD., SUITE 100 GRANITE BAY, CA 95746 | MUTUAL OF OMAHA INSURANCE COMPANY | $5 | — | $5 | 0.73% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 149 | $75K |
| Vision | GUARDIAN | 67 | $8K |
| Life insurance(5 contracts, 4 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 136 | $58K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 33 | $13K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 136 | $27K |
| Other(4 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 136 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.