| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 201629 DALLAS, TX 75320 | AETNA HEALTH, INC. | $0 | $18K | $18K | 3.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203508 DALLAS, TX 75320 | GEISINGER QUALITY OPTIONS, INC. | $13K | $18 | $13K | 3.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 6100 FAIRVIEW ROAD SUITE 1400 CHARLOTTE, NC 28210 | COMPANION LIFE INSURANCE COMPANY | $3K | $0 | $3K | 4.02% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP INC. | PO BOX 11229 COLUMBIA, SC 29211 | COMPANION LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | 6100 FAIRVIEW ROAD SUITE 1400 CHARLOTTE, NC 28210 | COMPANION LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.57% |
| THE CASON GROUP INC3 | PO BOX 11229 COLUMBIA, SC 29211 | COMPANION LIFE INSURANCE COMPANY | $245 | $0 | $245 | 0.32% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 6100 FAIRVIEW ROAD 8TH FLOOR CHARLOTTE, NC 28210 | COMPANION LIFE INSURANCE COMPANY | $50 | $0 | $50 | 0.06% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 6100 FAIRVIEW ROAD 14TH FLOOR CHARLOTTE, NC 28222 | ONE AMERICA | $5K | $0 | $5K | 13.07% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 201629 DALLAS, TX 75320 | AETNA LIFE INSURANCE COMPANY | $0 | $9K | $9K | 27.70% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 600 HIGHWAY 169 SOUTH SUITE 1200 ST LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 14.55% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | UNKNOWN SIMPSONVILLE, SC 29680 | AETNA LIFE INSURANCE COMPANY | $0 | $49 | $49 | 0.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203508 DALLAS, TX 75320 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.89% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203312 DALLAS, TX 75320 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 11.21% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA HEALTH, INC. | 97 | $920K |
| Dental | COMPANION LIFE INSURANCE COMPANY | 162 | $78K |
| Vision | VISION SERVICE PLAN | 248 | $27K |
| Life insurance(3 contracts, 3 carriers) | COMPANION LIFE INSURANCE COMPANY | 190 | $131K |
| Short-term disability(2 contracts, 2 carriers) | ONE AMERICA | 190 | $53K |
| Long-term disability | ONE AMERICA | 190 | $38K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 97 | $887K |
| Other(3 contracts, 3 carriers) | COMPANION LIFE INSURANCE COMPANY | 190 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.