| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 7600 NORTH CAPITAL OF TX HIGHWAY SUITE C200 AUSTIN, TX 78731 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | $27K | $33K | 5.72% |
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET, 24TH FLOOR CINCINNATI, OH 45202 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $3K | $3K | 0.45% |
| UNKNOWN3 | UNKNOWN AUSTIN, TX 78758 | SUN LIFE ASSURANCE COMPANY OF CANADA | $21K | $0 | $21K | 18.89% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 600 WEST 5TH STREET, SUITE 200 AUSTIN, TX 78701 | HARTFORD LIFE AND ACCIDENT | $3K | $67 | $3K | 15.31% |
| ERIC NOTHNAGEL3 | 1821 WESTINGHOUSE ROAD SUITE 1190 GEORGETOWN, TX 78626 | AFLAC | $1K | $101 | $1K | 9.66% |
| JEROME JEFFREY PESEK3 | 12566 MESA VERDE DRIVE AUSTIN, TX 78737 | AFLAC | $207 | $17 | $224 | 1.56% |
| CHAD SPENCER STRILCHUK3 Filed as: CHAD GREGORY SPRUELL | 906 SUNDANCE STREET NEW BRAUNFELS, TX 78130 | AFLAC | $107 | $0 | $107 | 0.75% |
| THOMAS H. BALL3 | 600 WEST 5TH STREET, SUITE 200 AUSTIN, TX 78701 | AFLAC | $57 | $0 | $57 | 0.40% |
| SHELLY WIEGAND3 | 2607 ARMATRADING DRIVE CEDAR PARK, TX 78613 | AFLAC | $53 | $0 | $53 | 0.37% |
| ERVIN EDWARD NOTHNAGEL3 | 225 COUNTY ROAD 3525 PARADISE, TX 76073 | AFLAC | $41 | $0 | $41 | 0.29% |
| VANESSA NOTHNAGEL3 Filed as: VANESSA NOTHNAGEL AND OTHER AGENTS | 2900 BROWNTOP COURT LEANDER, TX 78641 | AFLAC | $41 | $0 | $41 | 0.29% |
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 | 119 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $572K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $572K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $572K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 119 | $36K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 135 | $111K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 135 | $111K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $572K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 119 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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.