| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1501 REEDSDALE ST. PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $16K | — | $16K | 4.51% |
| AMERICAN BENEFIT CONSULTING LLC3 | 101 PARK AVENUE NEW YORK, NY 10178 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 2.62% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | SAGEWELL PARTNERS PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $550 | $550 | 0.15% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT | 601 SOUTH FIGUEROA STREET LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $138 | $138 | 0.04% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1501 REEDSDALE ST. PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | — | $11K | 4.57% |
| AMERICAN BENEFITS CONSULTING LLC3 | 101 PARK AVENUE NEW YORK, NY 10178 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 2.39% |
| THE JELLY VISION LAB INC.3 | 848 W EASTMAN STREET CHICAGO, IL 60642 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 1.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | SAGEWELL PARTNERS PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $326 | $326 | 0.13% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT | 601 SOUTH FIGUEROA STREET LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $138 | $138 | 0.06% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1501 REEDSDALE ST. PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 4.57% |
| AMERICAN BENEFIT CONSULTING LLC3 | 101 PARK AVENUE NEW YORK, NY 10178 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 2.33% |
| THE JELLY VISION LAB INC3 | 848 E. EASTMAN STREET CHICAGO, IL 60642 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 1.23% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | SAGEWELL PARTNERS PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $307 | $307 | 0.15% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT | 601 SOUTH FIGUEROA STREET LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $138 | $138 | 0.07% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | — | $14K | 8.18% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $21K | — | $21K | 16.03% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 6.24% |
| THE JELLYVISION LAB, INC.3 | PO BOX 8900 CAROL STREAM, IL 60197 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 1.95% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $20K | — | $20K | 16.12% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 6.24% |
| THE JELLYVISION LAB, INC.3 | PO BOX 8900 CAROL STREAM, IL 60197 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 2.03% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $19K | — | $19K | 16.10% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 6.26% |
| THE JELLYVISION LAB, INC.3 | PO BOX 8900 CAROL STREAM, IL 60197 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 2.07% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1501 REEDSDALE ST. PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.58% |
| AMERICAN BENEFITS CONSULTING LLC3 | 101 PARK AVENUE NEW YORK, NY 10178 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 2.33% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT | 601 SOUTH FIGUEROA STREET LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $138 | $138 | 0.28% |
| ALLIANT INSURANCE SERVICES, INC.3 | SAGEWELL PARTNERS PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $73 | $73 | 0.15% |
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 | 1,312 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,312 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 1,300 | $682K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 2,442 | $173K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,615 | $247K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,615 | $364K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,615 | $203K |
| Other(4 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,615 | $422K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,442 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.