| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 806 TYVOLA RD, STE 108 CHARLOTTE, NC 28217 | AETNA HEALTH, INC. | $44K | — | $44K | 2.98% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MARYLAND-HUNT VALLEY | 225 SCHILLING CIRCLE STE 150 HUNT VALLEY, MD 21031 | CAREFIRST BLUECHOICE | $14K | $6K | $20K | 6.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | PO BOX 904037 CHARLOTTE, NC 28290 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $25K | — | $25K | 9.83% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | 16220 N SCOTTSDALE RD, STE 600 SCOTTSDALE, AZ 85254 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 1.80% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD ILLINOIS | $9K | — | $9K | 5.20% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS | 2045 14TH AVE VERO BEACH, FL 32960 | BLUE CROSS BLUE SHIELD ILLINOIS | $1K | — | $1K | 0.69% |
| LINDEN GRP HLTH SVCS3 | UNKNOWN VERO BEACH, FL 32960 | BLUE CROSS BLUE SHIELD ILLINOIS | -$3K | $575 | -$3K | -1.49% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 806 TYVOLA RD, STE 108 CHARLOTTE, NC 28217 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 2.88% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $2K | $3K | 18.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 2045 14TH AVE VERO BEACH, FL 32960 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $546 | — | $546 | 2.92% |
| LANNY D. LEVIN AGENCY, INC.3 Filed as: LANNY D LEVINAGENCY INC | 1751 LAKE COOK RD, STE 350 DEERFIELD, IL 60015 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7 | — | $7 | 0.04% |
| THE PIETSCH FINANCIAL GROUP3 | 1751 LAKE COOK RD, STE 350 DEERFIELD, IL 60015 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5 | — | $5 | 0.03% |
| MARK METTILLE3 Filed as: MARK C PIETSCH | 10816 CRYSTAL SPRINGS LANE ORLAND PARK, IL 60467 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4 | — | $4 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA | PO BOX 904037 CHARLOTTE, NC 28290 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 26.50% |
| THE WILSHIRE GROUP LLC3 Filed as: THE WILSHIRE GRP LLC | 2035 LINCOLN HWY, STE 1080 EDISON, NJ 08817 | CONTINENTAL AMERICAN INSURANCE COMPANY | $364 | — | $364 | 2.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA | PO BOX 904037 CHARLOTTE, NC 28290 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 21.81% |
| THE WILSHIRE GROUP LLC3 Filed as: THE WILSHIRE GROUP, INC. | 2035 LINCOLN HWY STE 1080 EDISON, NJ 08817 | CONTINENTAL AMERICAN INSURANCE COMPANY | $438 | — | $438 | 4.29% |
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 | 303 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 305 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA HEALTH, INC. | 231 | $2.1M |
| Dental(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 303 | $273K |
| Vision(2 contracts, 2 carriers) | CAREFIRST BLUECHOICE | 58 | $306K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 303 | $273K |
| Short-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 303 | $273K |
| Long-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 303 | $273K |
| Prescription drug | CAREFIRST BLUECHOICE | 58 | $288K |
| Other(4 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 303 | $298K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 303 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.