| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GULF COAST INS. AGE | PO BOX 1070 MAGEE, MS 39111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $73K | $0 | $73K | 7.71% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES, INC. | 1607 NORTH AURORA ROAD, SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $19K | $39K | 4.13% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $39K | $0 | $39K | 4.10% |
| VIDAL & RODRIGUEZ3 | UNKNOWN LAFAYETTE, LA 70506 | TRIPLE S SALUD, INC | $4K | $0 | $4K | 2.00% |
| ACCRETIVE ENROLLMENT SVCS LLC3 Filed as: ACCRETIVE ENROLLMENT SVCS., LLC | 13750 SAN PEDRO AVENUE, SUITE 550 SAN ANTONIO, TX 78232 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $38K | $0 | $38K | 18.82% |
| MATTHEWS IV DAVID3 | PO BOX 2456 LAFAYETTE, LA 70502 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $36K | $0 | $36K | 17.62% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | $0 | $30 | 0.01% |
| LOCKTON COMPANIES, LLC3 Filed as: ASSURED PARTNERS AND LOCKTON MGMT | UNKNOWN LAFAYETTE, LA 70506 | STERLING WELLNESS SOLUTIONS | $8K | $0 | $8K | 9.87% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP, LLC | 18700 NORTH HAYDEN ROAD SUITE 405 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | $8K | $4K | $12K | 14.50% |
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 | 670 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 13 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 685 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC | 43 | $217K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 585 | $953K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 585 | $953K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 585 | $1.2M |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 585 | $953K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 585 | $953K |
| Prescription drug | TRIPLE S SALUD, INC | 43 | $217K |
| Other(6 contracts, 6 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 684 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 684 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.