| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC Filed as: USI INSURANCE SERVICES | MIDSOUTH PO BOX 62819 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA INSURANCE COMPANY | $7K | $3K | $10K | 18.52% |
| USI INSURANCE SERVICES LLC Filed as: USI INSURANCE SERVICES | 1 CONCOURSE CENTER PARKWAY SUITE 700 ATLANTA, GA 30328 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $242 | $4K | 10.71% |
| USI INSURANCE SERVICES LLC Filed as: USI INSURANCE SERVICES | PO BOX 16748 GREENVILLE, SC 29606 | EYEMED VISION CARE | $1K | — | $1K | 16.40% |
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 | 115 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECHOICE HEALTHPLAN | 84 | $1.1M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 74 | $34K |
| Vision | EYEMED VISION CARE | 95 | $7K |
| Life insurance | UNITED OF OMAHA INSURANCE COMPANY | 95 | $56K |
| Short-term disability | UNITED OF OMAHA INSURANCE COMPANY | 95 | $56K |
| Long-term disability | UNITED OF OMAHA INSURANCE COMPANY | 95 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.