| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 825 NE MULTNOMAH STREET, SUITE 1500 PORTLAND, OR 97232 | UNITEDHEALTHCARE INSURANCE COMPANY | $61K | $154 | $61K | 0.99% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $28K | $28K | 0.46% |
| CAMPBELL GALT AND NEWLANDS, INC.3 Filed as: CAMPBELL, GALT AND NEWLANDS, INC. | 825 NE MULTNOMAH, SUITE 1500 PORTLAND, OR 97232 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $57K | $0 | $57K | 6.75% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $47K | $0 | $47K | 8.54% |
| USI INSURANCE SERVICES LLC3 | PO BOX 3716 NORFOLK, VA 23514 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 0.63% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $195 | $195 | 0.04% |
| USI INSURANCE SERVICES LLC3 | 200 SUMMIT LAKE DRIVE, SUITE 350 VALHALLA, NY 10595 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $39K | $3K | $42K | 38.29% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 825 NE MULTNOMAH STREET, SUITE 1500 PORTLAND, OR 97232 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.24% |
| CLAUDIA S. CHAMORRO3 | PO BOX 22481 SAN DIEGO, CA 92192 | AFLAC | $3K | $62 | $3K | 10.06% |
| RMANN GROUP INC3 Filed as: RMANN GROUP, INC. AND OTHER AGENTS | 1518 BUCKINGHAM AVENUE MYRTLE BEACH, SC 29577 | AFLAC | $1K | $0 | $1K | 4.26% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 825 NE MULTNOMAH STREET, SUITE 1500 PORTLAND, OR 97232 | AFLAC | $1K | $0 | $1K | 4.19% |
| SUSAN C. HAMA3 | 7778 PASEO LA JOLLA CARLSBAD, CA 92009 | AFLAC | $873 | $0 | $873 | 2.84% |
| CHRISTOPHER L KENNEDY3 Filed as: CHRISTOPHER L. KENNEDY | 2888 LOKER AVENUE EAST, SUITE 210 CARLSBAD, CA 92010 | AFLAC | $785 | $0 | $785 | 2.55% |
| SMP INSURANCE SERVICES INC.3 Filed as: SMP INSURANCE SERVICES, INC. | 1120 PEPPER DRIVE, SPACE 120 EL CAJON, CA 92021 | AFLAC | $285 | $0 | $285 | 0.93% |
| JUDY CAROLINA MUNOZ3 | PO BOX 231932 ENCINITAS, CA 92023 | AFLAC | $182 | $0 | $182 | 0.59% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | HEALTH AND HUMAN RESOURCE CENTER, INC. | $1K | $0 | $1K | 5.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 825 NE MULTNOMAH, SUITE 1500 PORTLAND, OR 97232 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 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 | 721 | 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) | 721 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,031 | $7.1M |
| Dental(3 contracts, 3 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 574 | $1.0M |
| Vision(3 contracts, 3 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 567 | $956K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 721 | $553K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 721 | $553K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 721 | $553K |
| Prescription drug(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,031 | $7.1M |
| Other(5 contracts, 4 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 776 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,031 | — |
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.