| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 601478 CHARLOTTE, NC 28260 | KAISER FOUNDATION HEALTH PLAN INC | $28K | $0 | $28K | 4.59% |
| USI INSURANCE SERVICES LLC3 | 180 PARK AVENUE, 1ST FLOOR FLORHAM PARK, NJ 07932 | RELIANCE LIFE INSURANCE COMPANY | $45K | $0 | $45K | 13.00% |
| BRIAN M. COX3 | 1111 MILITARY CUTOFF ROAD WILMINGTON, NC 28405 | NORTHWESTERN MUTUAL | $28K | $7K | $35K | 15.28% |
| CAROLINA CONDREY GROUP3 Filed as: CAROLINA CONDREY CROUP | 1201 EDWARDS MILL ROAD, SUITE 200 RALEIGH, NC 27607 | NORTHWESTERN MUTUAL | $1K | $155 | $1K | 0.63% |
| USI INSURANCE SERVICES LLC3 | 200 SUMMIT LAKE DRIVE, SUITE 350 VALHALLA, NY 10595 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $11K | $14K | $25K | 20.84% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $0 | $250 | $250 | 19.97% |
| USI INSURANCE SERVICES LLC3 | 180 PARK AVENUE, SUITE 102 FLORHAM PARK, NJ 07932 | FEDERAL INSURANCE COMPANY | $188 | $0 | $188 | 15.02% |
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 | 1,177 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 88 | $607K |
| Life insurance | RELIANCE LIFE INSURANCE COMPANY | 1,158 | $344K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 422 | $118K |
| Long-term disability | NORTHWESTERN MUTUAL | 1,160 | $230K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 88 | $607K |
| Other(2 contracts, 2 carriers) | RELIANCE LIFE INSURANCE COMPANY | 1,177 | $345K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,177 | — |
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.