| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | P.O. BOX 62938 VIRGINIA BEACH, VA 23466 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $25K | $161K | $187K | 4.24% |
| EMERSON REID LLC3 Filed as: EMERSON REID & COMPANY, INC. | 1787 SENTRY PKWY W VEVA 16 STE 320 BLUE BELL, PA 19422 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | — | $96K | $96K | 2.18% |
| USI INSURANCE SERVICES LLC3 | 6TH FLOOR 261 MADISON AVE NEW YORK, NY 10016 | FIRST UNUM LIFE INSURANCE COMPANY | $24K | $3K | $27K | 16.75% |
| USI INSURANCE SERVICES LLC3 | 6TH FLOOR 261 MADISON AVE NEW YORK, NY 10016 | FIRST UNUM LIFE INSURANCE COMPANY | $6K | $2K | $8K | 10.11% |
| USI INSURANCE SERVICES LLC3 | 6TH FLOOR 261 MADISON AVE NEW YORK, NY 10016 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | $523 | $5K | 16.75% |
| USI INSURANCE SERVICES LLC3 | 261 MADISON AVENUE 5TH FLOOR NEW YORK, NY 10016 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 7.50% |
| DONALD C SAVOY INC3 Filed as: DONALD C SAVOY INC. | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $712 | — | $712 | 2.50% |
| USI INSURANCE SERVICES LLC3 | 6TH FLOOR 261 MADISON AVE NEW YORK, NY 10016 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | $219 | $3K | 18.39% |
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 | 358 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 367 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 326 | $4.4M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 326 | $4.4M |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 228 | $28K |
| Life insurance(2 contracts) | FIRST UNUM LIFE INSURANCE COMPANY | 358 | $189K |
| Short-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 358 | $159K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 358 | $159K |
| Other(4 contracts) | FIRST UNUM LIFE INSURANCE COMPANY | 358 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 358 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.