| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. BETHANY LOVING | 9811 KATY FWY STE 500 HOUSTON, TX 77024 | BLUE CROSS BLUE SHIELD OF FLORIDA | $82K | — | $82K | 2.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. BETHANY LOVING | 9811 KATY FWY STE 500 HOUSTON, TX 77024 | HEALTH OPTIONS, INC. | $72K | — | $72K | 2.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | P.O. BOX 61187 VIRGINIA BEACH, VA 23466 | RELIASTAR LIFE INSURANCE COMPANY | $68K | — | $68K | 10.95% |
| USI INSURANCE SERVICES LLC3 | 100 SUMMIT LAKE DR. STE 400 VALHALLA, NY 10595 | RELIASTAR LIFE INSURANCE COMPANY | $23K | — | $23K | 3.67% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | P.O. BOX 61187 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $18K | — | $18K | 5.07% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3805 WEST CHESTER PIKE STE 200 NEWTOWN SQUARE, PA 19073 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $15K | $15K | 4.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GSA NATIONAL THIRD PARTY ADMINISTRATO | Contract Administrator Service code 13 | 4114 LEGATO RD. STE 400 FAIRFAX, VA 22033 | $458K |
| NEW BENEFITS LTD NONE | Other services Service code 49 | PO BOX 803475 DALLAS, TX 75380 | $77K |
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 | 1,455 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 343 | $4.0M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,372 | $347K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,372 | $347K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,569 | $616K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,569 | $616K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 1,569 | $616K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,569 | — |
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."
No prospect flags tripped on this filing.