| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $116K | $29K | $145K | 12.49% |
| TENCODE BENEFITS LLC3 | 251 DALLAS PARKWAY STE 101 FRISCO, TX 75034 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $23K | $23K | 2.00% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $27K | $21K | $48K | 5.39% |
| FERNANDEZ, JOE3 | 7500 DALLAS PKWY STE 550 PLANO, TX 75024 | UNUM INSURANCE COMPANY | $91K | $0 | $91K | 14.82% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | UNUM INSURANCE COMPANY | $48K | $11K | $59K | 9.59% |
| SELERIX INSURANCE SERVICES, LLC3 Filed as: SELERIX INSURANCE SERVICES LLC | 2851 CRAIG DR STE 300 MCKINNEY, TX 75072 | UNUM INSURANCE COMPANY | $12K | $0 | $12K | 1.97% |
| FERNANDEZ, JOE3 | 7500 DALLAS PKWY STE 550 PLANO, TX 75024 | UNUM INSURANCE COMPANY | $52K | $0 | $52K | 12.97% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | UNUM INSURANCE COMPANY | $32K | $7K | $39K | 9.69% |
| SELERIX INSURANCE SERVICES, LLC3 Filed as: SELERIX INSURANCE SERVICES LLC | 2851 CRAIG DR STE 300 MCKINNEY, TX 75072 | UNUM INSURANCE COMPANY | $9K | $0 | $9K | 2.11% |
| RERNANDEZ, JOE3 | 7500 DALLAS PKWY STE 550 PLANO, TX 75024 | UNUM INSURANCE COMPANY | $48K | $0 | $48K | 12.82% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | UNUM INSURANCE COMPANY | $30K | $7K | $37K | 9.83% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | $9K | $20K | 5.44% |
| TENCODE BENEFITS LLC3 | 251 DALLAS PARKWAY STE 101 FRISCO, TX 75034 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $7K | $7K | 2.00% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $3K | $10K | 7.44% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $1K | $6K | 10.43% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS INC | 120-A GILLS CREEK PKWY COLUMBIA, SC 29209 | UNUM-PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | $856 | $0 | $856 | 3.13% |
| PREMIER INSURANCE MANAGEMENT3 | SERVICES INC 12707 HIGH BLUFF DR SAN DIEGO, CA 92130 | UNUM-PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | $83 | $0 | $83 | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | UNUM-PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | $58 | $0 | $58 | 0.21% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS, INC | 120-A GILLS CREEK PKWY COLUMBIA, SC 29209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 8.02% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $203 | $0 | $203 | 1.41% |
| PREMIER INSURANCE MANAGEMENT3 | SERVICES INC 12707 HIGH BLUFF DR SAN DIEGO, CA 92130 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $61 | $0 | $61 | 0.42% |
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 | 7,368 | 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) | 7,368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 10,957 | $3.4M |
| Vision | VISION SERVICE PLAN | 4,920 | $1.2M |
| Life insurance(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 7,368 | $1.6M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 6,584 | $889K |
| Other(7 contracts, 4 carriers) | UNUM INSURANCE COMPANY | 7,287 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,957 | — |
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.