| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $885 | $23K | 10.29% |
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW ROAD, 8TH FLOOR CHARLOTTE, NC 28210 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $31 | $31 | 0.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC,. | 2711 NORTH HASKELL AVENUE SUITE 2000 DALLAS, TX 75204 | AMERICAN UNITED LIFE INSURANCE COMPANY | $16K | $393 | $16K | 15.29% |
| CONVERGINS HEALTH LLC3 Filed as: CONVERGINS HEALTH, LLC | SUITE 220 B ADDISON, TX 75001 | AMERICAN UNITED LIFE INSURANCE COMPANY | $0 | $951 | $951 | 0.89% |
| USI INSURANCE SERVICES LLC3 | 2375 EAST CAMELBACK ROAD, SUITE 250 PHOENIX, AZ 85016 | AMERICAN UNITED LIFE INSURANCE COMPANY | $312 | $0 | $312 | 0.29% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $7K | $0 | $7K | 24.40% |
| CONVERGINS HEALTH LLC3 Filed as: CONVERGINS HEALTH, LLC | UNKNOWN ADDISON, TX 75001 | COMBINED INSURANCE | $8K | $0 | $8K | 43.12% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC,. | 2711 NORTH HASKELL AVENUE SUITE 2000 DALLAS, TX 75204 | COMBINED INSURANCE | $2K | $0 | $2K | 11.68% |
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 | 363 | 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) | 363 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 659 | $222K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 454 | $29K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 363 | $107K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 363 | $107K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 363 | $107K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 363 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 659 | — |
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.