| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNIMERICA INSURANCE COMPANY3 | 9700 HEALTH CARE LANE MINNETONKA, MN 55353 | UNIMERICA INSURANCE COMPANY | — | $410K | $410K | — |
| THE LOOMIS COMPANY3 | 850 NORTH PARK ROAD WYOMISSING, PA 19610 | UNIMERICA INSURANCE COMPANY | — | $54K | $54K | — |
| CIGNA3 Filed as: CIGNA HEALTH AND LIFE INSURANCE COM | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | UNIMERICA INSURANCE COMPANY | — | $23K | $23K | — |
| HINES & ASSOCIATES3 | 115 EAST HIGHLAND AVENUE ELGIN, IL 60120 | UNIMERICA INSURANCE COMPANY | — | $9K | $9K | — |
| ZELIS CLAIMS INTEGRITY INC3 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | UNIMERICA INSURANCE COMPANY | — | $8K | $8K | — |
| TELADOC3 Filed as: TELADOC INC | 2 MANHATTANVILLE ROAD PURCHASE, NY 10577 | UNIMERICA INSURANCE COMPANY | — | $3K | $3K | — |
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 | 124 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIMERICA INSURANCE COMPANY | 124 | $0 |
| Dental | UNIMERICA INSURANCE COMPANY | 124 | $0 |
| Vision | UNIMERICA INSURANCE COMPANY | 124 | $0 |
| Prescription drug | UNIMERICA INSURANCE COMPANY | 124 | $0 |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 124 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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.