| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE INC. | 2101 6TH AVE N STE 725 BIRMINGHAM, AL 35203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $55K | — | $55K | 14.82% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 10 N PARK DR STE 200 HUNT VALLEY, MD 21030 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | — | $12K | 3.18% |
| HODGES-MACE LLC5 | 5775-D GLENRIDGE DR NE STE 350 ATLANTA, GA 30328 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 1.97% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE | PO BOX 730416 DALLAS, TX 75373 | DELTA DENTAL INSURANCE COMPANY | $16K | — | $16K | 8.31% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SE INC. | PO BOX 730416 DALLAS, TX 75373 | VISION SERVICE PLAN | $3K | — | $3K | 8.31% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF FL LLC | 300 COLONIAL CENTER PKWY STE 270 LAKE MARY, FL 32746 | VISION SERVICE PLAN | $286 | — | $286 | 0.84% |
| ASSUREDPARTNERS3 Filed as: ASSURED NL INSURANCE AGENCY, INC. | 4500 TOWN CENTRE BLVD STE 200 JEFFERSONVILLE, IN 47130 | VISION SERVICE PLAN | $286 | — | $286 | 0.84% |
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 | 412 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 13 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 426 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 276 | $3.4M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 319 | $188K |
| Vision | VISION SERVICE PLAN | 250 | $34K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 412 | $373K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 412 | $373K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 412 | $373K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 276 | $3.4M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 412 | $373K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 412 | — |
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.