| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 7600 NORTH CAPITAL OF TEXAS HIGHWAY SUITE C200 AUSTIN, TX 78731 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $34K | $38K | 5.24% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 0.47% |
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET, 24TH FLOOR CINCINNATI, OH 45202 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $2K | $2K | 0.21% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 7600 NORTH CAPITAL OF TEXAS HIGHWAY SUITE C200 AUSTIN, TX 78731 | SUN LIFE ASSURANCE COMPANY OF CANADA | $15K | $0 | $15K | 12.20% |
| MGIS3 | 111 SOUTH MAIN STREET, SUITE 400 SALT LAKE CITY, UT 84111 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $195 | $4K | 2.96% |
| ERIC NOTHNAGEL3 | 1821 WESTINGHOUSE ROAD, SUITE 1190 GEORGETOWN, TX 78626 | AFLAC | $4K | $368 | $5K | 16.60% |
| JEROME JEFFREY PESEK3 | 12566 MESA VERDE DRIVE AUSTIN, TX 78737 | AFLAC | $598 | $72 | $670 | 2.44% |
| ERVIN EDWARD NOTHNAGEL3 Filed as: ERVIN EDWARD NORTHNAGEL | 225 COUNTRY ROAD, SUITE 3525 PARADISE, TX 76073 | AFLAC | $328 | $27 | $355 | 1.29% |
| MJ INSURANCE3 Filed as: JEANETTE SCHAUB AND VARIOUS AGENTS | 81 VINTAGE CIRCLE, SUITE 3247 PLEASANTON, CA 94566 | AFLAC | $113 | $9 | $122 | 0.44% |
| THOMAS H. BALL3 | 600 WEST 5TH STREET, SUITE 200 AUSTIN, TX 78701 | AFLAC | $79 | $0 | $79 | 0.29% |
| SHELLY WIEGAND3 | 2607 ARMATRADING DRIVE CEDAR PARK, TX 78613 | AFLAC | $71 | $0 | $71 | 0.26% |
| LEE ANN HEARN3 | 9181 FM 1339 MARTINDALE, TX 78655 | AFLAC | $40 | $0 | $40 | 0.15% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 600 WEST 5TH STREET, SUITE 200 AUSTIN, TX 78701 | HARTFORD LIFE AND ACCIDENT | $3K | $0 | $3K | 15.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | HARTFORD LIFE AND ACCIDENT | $0 | $323 | $323 | 1.39% |
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 | 132 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 161 | $723K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 161 | $723K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 161 | $723K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 133 | $51K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 136 | $124K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 136 | $124K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 161 | $723K |
| Other(2 contracts, 2 carriers) | AFLAC | 133 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.