| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH MCLENNAN | AGENCY, LLC COMPANY 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | DELTA DENTAL OF TENNESSEE | $54K | — | $54K | 1.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $155K | $41K | $195K | 6.69% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $146K | $38K | $183K | 6.68% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC COMPANY 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $78K | $19K | $97K | 6.61% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: VBA/HUB INTERNATIONAL | — | COMBINED INSURANCE | $31K | — | $31K | 6.33% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | COMBINED INSURANCE | $15K | — | $15K | 3.04% |
| 1099 ENROLLERS3 | — | COMBINED INSURANCE | $2K | — | $2K | 0.41% |
| SEE ATTACHED3 | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $40K | — | $40K | 8.32% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $23K | $6K | $28K | 6.66% |
| SEE ATTACHED3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38K | $128 | $38K | 10.10% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $18K | $4K | $22K | 6.60% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: VBA HUB INTERNATIONAL | — | COMBINED INSURANCE | $26K | — | $26K | 7.55% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | COMBINED INSURANCE | $12K | — | $12K | 3.59% |
| 1099 ENROLLERS3 | — | COMBINED INSURANCE | $5K | — | $5K | 1.52% |
| BLOCK, CHARLES, D3 Filed as: BLOCK, CHARLES D | UNIT 208 648 VILLAGE PARK DR WILMINGTON, NC 28405 | PROVIDENT LIFE AND ACCIDENT LIFE INSURANCE COMPANY | $10K | $226 | $10K | 3.96% |
| VAN EPPS, JAMES, H3 Filed as: VAN EPPS, JAMES H | 10930 CRABAPPLE RD STE 206 ROSWELL, GA 30075 | PROVIDENT LIFE AND ACCIDENT LIFE INSURANCE COMPANY | $6K | — | $6K | 2.55% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | COMMISSION LOCKBOX USI DALLAS, TX 75320 | PROVIDENT LIFE AND ACCIDENT LIFE INSURANCE COMPANY | $1K | — | $1K | 0.55% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC | WELLS FARGO INS SVCS USA PO BOX 203491 DALLAS, TX 75320 | PROVIDENT LIFE AND ACCIDENT LIFE INSURANCE COMPANY | $774 | — | $774 | 0.31% |
| USI INSURANCE SERVICES LLC3 | WELLS FARGO INS SVCS USA INC PO BOX 20351 DALLAS, TX 75320 | PROVIDENT LIFE AND ACCIDENT LIFE INSURANCE COMPANY | — | $430 | $430 | 0.17% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN | AGENCY, LLC COMPANY 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $1K | $5K | 6.62% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 414 GALLIMORE DAIRY RD GREENSBORO, NC 27409 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $10K | 14.59% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH MCLENNAN | AGENCY, LLC COMPANY 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | LEGALPLANS, USA | $858 | — | $858 | 10.00% |
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 | 12,375 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 467 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,842 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF TENNESSEE | 21,404 | $5.4M |
| Vision | VISION SERVICE PLAN | 9,318 | $1.5M |
| Life insurance(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 12,799 | $3.5M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 6,291 | $2.7M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 13,893 | $1.5M |
| Other(9 contracts, 7 carriers) | COMBINED INSURANCE | 12,492 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,404 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.