| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 312 ELM ST 24TH FLOOR CINCINNATI, OH 45202 | MEDICAL MUTUAL | — | $20K | $20K | 1.40% |
| USI INSURANCE SERVICES LLC3 | 2375 E CAMELBACK RD SUITE 250 PHOENIX, AZ 85016 | GUARDIAN | $4K | $7K | $11K | 10.08% |
| LIFESERVICES EAP | 320 W 8TH ST, SUITE 108 BLOOMINGTON, IN 47404 | LIFESERVICES EAP | — | $3K | $3K | — |
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 | 146 | 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) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | MEDICAL MUTUAL | 186 | $1.6M |
| Life insurance | GUARDIAN | 186 | $111K |
| Short-term disability | GUARDIAN | 186 | $111K |
| Long-term disability | GUARDIAN | 186 | $111K |
| Prescription drug | MEDICAL MUTUAL | 150 | $1.5M |
| Other | LIFESERVICES EAP | 175 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 186 | — |
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.