| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 10940 WHITE ROCK ROAD, 2ND FLOOR RANCHO CORDOVA, CA 95670 | UNITEDHEALTHCARE INSURANCE COMPANY | $69K | $0 | $69K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE, INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | UNITEDHEALTHCARE INSURANCE COMPANY | $31 | $0 | $31 | 0.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $31K | $0 | $31K | 9.16% |
| USI INSURANCE SERVICES LLC3 | 555 PLEASANTVILLE ROAD BRIARCLIFF MANOR, NY 10510 | STANDARD INSURANCE COMPANY | $0 | $7K | $7K | 2.15% |
| USI INSURANCE SERVICES LLC3 | PO BOX 39000 SAN FRANCISCO, CA 94139 | VISION SERVICE PLAN | $4K | $0 | $4K | 2.02% |
| PATRIC J. SULLIVAN3 | 36 DESERT HIGHLAND SOUTH DRIVE HENDERSON, NV 89052 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10K | $0 | $10K | 8.96% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE, INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | $0 | $7K | 6.05% |
| USI INSURANCE SERVICES LLC3 | 10940 WHITE ROCK ROAD RANCHO CORDOVA, CA 95760 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 3.61% |
| MARTIN J LEWIS3 Filed as: MARTIN J. LEWIS | 900 NORTH KINGSBURY AVENUE CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 1.54% |
| LUZ ELENA SERVI3 Filed as: LUZ E. SERVI | 2349 SALEROSO DRIVE ROWLAND HEIGHTS, CA 91748 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 1.37% |
| SAHAR QABAZARD3 | 541 ARTOLA STREET LAS VEGAS, NV 89144 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 1.15% |
| MJ INSURANCE3 Filed as: DEBORAH L. SENN AND VARIOUS AGENTS | 5846 FALLING STREAM AVENUE LAS VEGAS, NV 89131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 1.04% |
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 | 759 | 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) | 771 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 2,061 | $688K |
| Vision | VISION SERVICE PLAN | 652 | $202K |
| Life insurance | STANDARD INSURANCE COMPANY | 747 | $336K |
| Short-term disability | STANDARD INSURANCE COMPANY | 747 | $336K |
| Long-term disability | STANDARD INSURANCE COMPANY | 747 | $336K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 747 | $453K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,061 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.