| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | UNKNOWN THE WOODLANDS, TX 77375 | HIGHMARK INC. | $55K | $0 | $55K | 4.90% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | HARTFORD LIFE AND ACCIDENT | $35K | $0 | $35K | 17.88% |
| TAILORED WORKSITE SERVICES3 Filed as: TAILORED WORKSITE SERVICES, LLC | 1802 LAKE MEADOWS COURT HOUSTON, TX 77077 | HARTFORD LIFE AND ACCIDENT | $17K | $0 | $17K | 8.60% |
| DOMINIC RODRIGUEZ3 | 11403 BARKER CYPRESS ROAD SUITE J222 CYPRESS, TX 77433 | HARTFORD LIFE AND ACCIDENT | $17K | $0 | $17K | 8.60% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | UNITED CONCORDIA INSURANCE COMPANY | $2K | $0 | $2K | 3.16% |
| LOCKTON COMPANIES, LLC3 | UNKNOWN ATLANTA, GA 30305 | UNITED CONCORDIA INSURANCE COMPANY | $1K | $0 | $1K | 2.01% |
| LOCKTON COMPANIES, LLC3 | 3280 PEACHTREE ROAD NE ATLANTA, GA 30305 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $801 | $0 | $801 | 7.05% |
| JAMES M EANES3 Filed as: JAMES M EANES AND OTHER AGENTS | 1700 EAST JACKSON STREET PENSACOLA, FL 32501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $433 | $27 | $460 | 4.05% |
| KLD INSURANCE BENEFITS INC3 Filed as: KLD INSURANCE BENEFITS, INC. | 9085 BETHEL ROAD GAINESVILLE, GA 30506 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $252 | $64 | $316 | 2.78% |
| COLONIAL LIFE BROKERAGE LLC3 Filed as: COLONIAL LIFE BROKERAGE, LLC | 12010 BROOKFIELD CLUB ROAD ROSWELL, GA 30075 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $185 | $31 | $216 | 1.90% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 983 HOUSTON, TX 77001 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $141 | $0 | $141 | 1.24% |
| ROGERS BENEFIT GROUP INC3 Filed as: PATRICK MICHAEL ROGERS | 137 CAMELOT CIRCLE CORAOPOLIS, PA 15108 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $98 | $13 | $111 | 0.98% |
| NORMAC SOLUTIONS INC3 Filed as: NORMAC SOLUTIONS, INC. | 451 HOPKINS ROAD TOWNVILLE, SC 29689 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $50 | $0 | $50 | 0.44% |
| LOCKTON COMPANIES, LLC3 | 3280 PEACHTREE ROAD NE ATLANTA, GA 30305 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $299 | $0 | $299 | 9.50% |
| MARIA VERONICA JARQUE3 Filed as: MARIA V. JARQUE & OTHER AGENTS | 4525 GEORGIA STREET SAN DIEGO, CA 92116 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $161 | $16 | $177 | 5.62% |
| KLD INSURANCE BENEFITS INC3 Filed as: KLD INSURANCE BENEFITS, INC. | 9085 BETHEL ROAD GAINESVILLE, GA 30506 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $100 | $27 | $127 | 4.04% |
| COLONIAL LIFE BROKERAGE LLC3 Filed as: COLONIAL LIFE BROKERAGE, LLC | 12010 BROOKFIELD CLUB ROAD ROSWELL, GA 30075 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $74 | $12 | $86 | 2.73% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 983 HOUSTON, TX 77001 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $60 | $0 | $60 | 1.91% |
| MARC MAURICIO MORROW3 | 30218 VINEBRIAR DRIVE SPRING, TX 77386 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $38 | $9 | $47 | 1.49% |
| EOB CONSULTING LLC3 Filed as: EOB CONSULTING, LLC | 2500 NORTHWINDS PARKWAY ALPHARETTA, GA 30009 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $26 | $0 | $26 | 0.83% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY | PO BOX 948 HENRIETTA, NY 14467 | VISION SERVICE PLAN | $67 | $0 | $67 | 9.97% |
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 | 305 | 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) | 305 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 300 | $1.1M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 326 | $58K |
| Vision | VISION SERVICE PLAN | 3 | $672 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 305 | $193K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 305 | $193K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 305 | $193K |
| Prescription drug | HIGHMARK INC. | 300 | $1.1M |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 305 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 326 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.