| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASTOR & ASSOCIATE3 | 414 JASCKSON ST. SUITE 200 SAN FRANCISCO, CA 94111 | BLUE SHIELD OF CALIFORNIA | $53K | $0 | $53K | 5.04% |
| KEYSTONE INSURANCE & BENEFITS GROUP3 Filed as: KEYSTONE INSURANCE & BENEFITS | GROUP LLC 13800 JACKSON RD. MISHAWAKA, IN 46544 | ANTHEM INSURANCE COMPANIES, INC. | $17K | $473 | $18K | 2.17% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NEWTORK PLACE CHICAGO, IL 60673 | ANTHEM INSURANCE COMPANIES, INC. | $4K | $0 | $4K | 0.47% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL | 111 N. WASHINGTON STREET SUITE 300 GREEN BAY, WI 54301 | MEDICAL MUTUAL | $21K | — | $21K | 2.58% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 111 N. WASHINGTON STREET SUITE 300 GREEN BAY, WI 54301 | HEALTHPARTNERS | $0 | $1 | $1 | 0.00% |
| LSG INSURANCE PARTNERS3 Filed as: LSG INSURANCE PARTNERS, INC. | 2600 S. TELEGRAPH RD. SUITE 100 BLOOMFIELD HILLS, MI 48302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $3K | $15K | 5.59% |
| LUBIN SCHWARTZ & GOLDMAN3 Filed as: LUBIN-SCHWARTZ & GOLDMAN | 2600 S. TELEGRAPH RD. SUITE 100 BLOOMFILELD HILLS, MI 48302 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $950 | $6K | 3.77% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS | INNOTECH 233 S. WACKER SUITE 1875 CHICAGO, IL 60606 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $55K | $0 | $55K | 41.18% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL, INC. | 10461 MILL RUN CIRCLE OWINGS MILLS, MD 21117 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $31K | $853 | $32K | 23.78% |
| LSG INSURANCE PARTNERS3 Filed as: LSG INSURANCE PARTNERS, INC. | 2600 S. TELEGRAPH ROAD SUITE 100 BLOOMFIELD HILLS, MI 48302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | $1K | $15K | 16.25% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 10461 MILL RUN CIRCLE OWINGS MILLS, MD 21117 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $60K | $1K | $61K | 65.68% |
| VARIOUS - SEE ATTACHED3 Filed as: VARIOUS BROKERS SEE ATTACHED | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $15K | $834 | $16K | 18.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS | INNOTECH 233 S. WACKER SUITE 1875 CHICAGO, IL 60606 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $37K | $0 | $37K | 44.58% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 10461 MILL RUN CIRCLE OWINGS MILLS, MD 21117 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $21K | $894 | $22K | 26.14% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 10461 MILL RUN CIRCLE OWINGS MILLS, MD 21117 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $781 | $13K | 21.33% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC. | 35371 NETWORK PLACE CHICAGO, IL 60673 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $32K | $0 | $32K | 64.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL | 111 NORTH WASHINGTON ST. GREEN BAY, WI 54305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $18K | $0 | $18K | 36.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL, INC. | 111 N. WASHINGTON ST. SUITE 30 GREEN BAY, WI 54301 | DELTA DENTAL PLAN OF MAINE | $1K | $0 | $1K | 2.93% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF MAINE | $417 | $0 | $417 | 0.87% |
| ASSUREDPARTNERS3 Filed as: MEADORS, ADAMS & LEE INC. | PO BOX 3456 LITTLE ROCK, AR 72203 | DELTA DENTAL PLAN OF ARKANSAS | $5K | $0 | $5K | 10.00% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR & ASSOCIATES | 14805 N. 73RD STREET SCOTTSDALE, AZ 852603107 | RELIASTAR LIFE INSURANCE COMPANY | $4K | $0 | $4K | 13.25% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS & LEE | PO BOX 3505 LITTLE ROCK, AR 72203 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 23.99% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $40 | $2K | 14.54% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $210 | $210 | 2.00% |
| ASTOR & ASSOCIATE3 Filed as: ASTOR AND ASSOCIATES | 414 JACKSON STREET SUITE 200 SAN FRANCISCO, CA 94111 | VISION SERVICE PLAN | $879 | $0 | $879 | 10.43% |
| IDS CENTER3 | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $316 | $316 | 4.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC. | 35371 NETWORK PLACE CHICAGO, IL 60673 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 64.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL | 111 NORTH WASHINGTON ST. GREEN BAY, WI 54305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 36.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC. | PO BOX 27025 RICHMOND, VA 23261 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $693 | $0 | $693 | 15.01% |
| STACY ASTOR3 | 414 JACKSON STREET SUITE 200 SAN FRANCISCO, CA 94111 | SAFEGUARD HEALTH PLANS INC. | $367 | — | $367 | 9.19% |
| MARIBETH TENNISON3 | 3720 SOUTH SUSAN STREET SUITE 200 SANTA ANA, CA 92704 | SAFEGUARD HEALTH PLANS INC. | $293 | $0 | $293 | 7.33% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 29840 NETWORK PLACE CHICAGO, IL 60073 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $435 | $0 | $435 | 13.73% |
| GREAT LAKES INSURANCE CONSULTANTS3 | 1166 QUAIL COURT SUITE 100 PEWAUKEE, WI 53072 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2 | $0 | $2 | 0.06% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC. | 18201 VON KARMAN AVE. SUITE 1020 IRVINE, CA 92612 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2 | $0 | $2 | 0.06% |
| TITAN BENEFIT COMMUNICATIONS LLC3 | 504 EAST 4TH STREET ROYAL OAK, MI 48067 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 1.92% |
| LSG INSURANCE PARTNERS3 Filed as: LSG INSURANCE PARTNERS, INC. | 2600 S. TELLEGRAPH RD. SUITE 100 BLOOMFILED HILLS, MI 48302 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.96% |
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 | 4,550 | 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) | 4,550 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 8 carriers) | ARKANSAS BLUE CORSS AND BLUE SHIELD | 426 | $7.0M |
| Dental(6 contracts, 5 carriers) | BLUE SHIELD OF CALIFORNIA | 511 | $1.3M |
| Vision(5 contracts, 5 carriers) | MEDICAL MUTUAL | 3,123 | $938K |
| Life insurance(18 contracts, 8 carriers) | MEDICAL MUTUAL | 754 | $1.6M |
| Short-term disability(4 contracts, 4 carriers) | MEDICAL MUTUAL | 346 | $1.2M |
| Long-term disability(5 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 931 | $210K |
| Prescription drug(3 contracts, 3 carriers) | ARKANSAS BLUE CORSS AND BLUE SHIELD | 426 | $3.5M |
| Other(14 contracts, 7 carriers) | MEDICAL MUTUAL | 651 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,123 | — |
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.