| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS HADLEY3 | UNKNOWN COLUMBUS, OH 43215 | BLUE CROSS BLUE SHIELD OF MISSISSIPPI, INC. | $22K | $0 | $22K | 3.57% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 2975 REGENT BOULEVARD IRVING, TX 75063 | DELTA DENTAL OF OHIO | $9K | $0 | $9K | 2.73% |
| USI INSURANCE SERVICES LLC3 | 777 SOUTH FIGUEROA STREET LAS ANGELES, CA 90017 | HEALTH NET | $9K | $47 | $9K | 2.79% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 203373 DALLAS, TX 75320 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $16K | $0 | $16K | 7.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 203417 DALLAS, TX 75320 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.87% |
| USI INSURANCE SERVICES LLC3 | 38 DISCOVERY, SUITE 250 SAN FRANCISCO, CA 94139 | PREMIER ACCESS INSURANCE COMPANY | $2K | $0 | $2K | 11.02% |
| EMERSON REID LLC3 Filed as: EMERSON REID | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | PREMIER ACCESS INSURANCE COMPANY | $1K | $0 | $1K | 5.35% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 203373 DALLAS, TX 75320 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | $0 | $1K | 5.66% |
| USI INSURANCE SERVICES LLC3 | 5455 RINGS ROAD DUBLIN, OH 43017 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $699 | $0 | $699 | 3.80% |
| USI INSURANCE SERVICES LLC3 | 5455 RINGS ROAD, SUITE 250 DUBLIN, OH 43017 | FEDERAL INSURANCE COMPANY | $542 | $0 | $542 | 15.00% |
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 | 812 | 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) | 812 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MISSISSIPPI, INC. | 199 | $942K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF OHIO | 1,246 | $355K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 407 | $65K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 710 | $229K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 710 | $229K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MISSISSIPPI, INC. | 199 | $942K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 812 | $233K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,246 | — |
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."
No prospect flags tripped on this filing.