| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC Filed as: WILLIS TOWERS WATSON INSURANCE WEST | 801 S. FIGUEROA ST. SUITE 800 LOS ANGELES, CA 90017 | THE HARTFORD LIFE AND ACCIDENT | — | $21K | $21K | 1.76% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP | 1612 MARION ST. COLUMBIA, SC 29201 | UNUM INSURANCE COMPANY | $9K | $742 | $10K | 8.13% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | 5 CONCOURSE PKWY 18TH FLOOR ATANTA, GA 30328 | UNUM INSURANCE COMPANY | $9K | $742 | $10K | 8.13% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | CONCOURSE CORPORATE CTR 5 18TH FLOOR ATANTA, GA 30328 | UNUM LIFE INSURANCE COMPANY | $5K | $783 | $6K | 8.66% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP, INC. | 1612 MARION ST. COLUMBIA, SC 29201 | UNUM LIFE INSURANCE COMPANY | $5K | $288 | $5K | 7.89% |
| CUSTOM BENEFIT PROGRAMS INC Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH ST HAMMONTON, NJ 08037 | UNUM LIFE INSURANCE COMPANY | $29 | — | $29 | 0.04% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH ST HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $890 | — | $890 | 1.76% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | CONCOURSE CORPORATE CTR 5 18TH FLOOR ATLANTA, GA 30328 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $466 | — | $466 | 0.92% |
| LOUIS R FAIOLA3 Filed as: LOUIS PANTALONE | P.O. BOX 1116 HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $225 | — | $225 | 0.44% |
| JO ANN PANTALONE3 | 897 12TH ST HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP | 1612 MARION ST. COLUMBIA, SC 29201 | UNUM INSURANCE COMPANY | $5K | $366 | $5K | 11.41% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | 5 CONCOURSE PKWY NE 18TH FLOOR ATANTA, GA 30328 | UNUM INSURANCE COMPANY | $3K | $366 | $3K | 7.25% |
| MCGRIFF INSURANCE SERVICES INC Filed as: MCGRIFF SEIBELS & WILLIAMS | 3400 OVERTON PARK DR. 300 ATANTA, GA 30339 | FEDERAL INSURANCE COMPANY | $86 | — | $86 | 3.50% |
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 | 1,513 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,520 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | THE HARTFORD LIFE AND ACCIDENT | 2,026 | $1.2M |
| Long-term disability | THE HARTFORD LIFE AND ACCIDENT | 2,026 | $1.2M |
| Other(6 contracts, 5 carriers) | THE HARTFORD LIFE AND ACCIDENT | 2,026 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,026 | — |
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.