| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC Filed as: WILLIS INSURANCE SERVICES OF GA | 1 GLENLAKE PKWY 11TH FL ATLANTA, GA 303283496 | HUMANA | $26K | — | $26K | 5.23% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA | 1401 BRICKELL AVENUE, SUITE 1110 MIAMI, FL 33131 | SYMETRA | $9K | $4K | $13K | 7.18% |
| WILLIS TOWERS WATSON US LLC Filed as: WILLIS OF FLORIDA | 29848 NETWORK PLACE CHICAGO, IL 28290 | EYEMED | $2K | — | $2K | 3.30% |
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 | 866 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 866 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA | 802 | $499K |
| Vision | EYEMED | 726 | $64K |
| Life insurance | SYMETRA | 979 | $177K |
| Long-term disability | SYMETRA | 979 | $177K |
| Other(2 contracts) | ICUBA | 866 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 979 | — |
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.