| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | RSA BATTLE HOUSE TOWER, STE 192 11 N WATER ST, 19TH FL, STE 19290 MOBILE, AL 36602 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $7K | $7K | 1.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | RSA BATTLE HOUSE TOWER, STE 192 11 N WATER ST, 19TH FL, STE 19290 MOBILE, AL 36602 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $7K | $7K | 1.09% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | RSA BATTLE HOUSE TOWER, STE 192 11 N WATER ST, 19TH FL, STE 19290 MOBILE, AL 36602 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 1.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | PO BOX 2407 MOBILE, AL 36652 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | $6K | $22K | 10.74% |
| DOUCET, MICHELLE, LEDOUX3 | 303 HERBSAINT DRIVE YOUNGSVILLE, LA 70592 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | — | $17K | 7.97% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST | PO BOX 730371 DALLAS, TX 753730371 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $1K | $11K | 9.25% |
| DOUCET, MICHELLE, LEDOUX3 | 303 HERBSAINT DRIVE YOUNGSVILLE, LA 70592 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 8.22% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | PO BOX 2407 MOBILE, AL 36652 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $879 | $4K | 13.54% |
| DOUCET, MICHELLE, LEDOUX3 | 303 HERBSAINT DRIVE YOUNGSVILLE, LA 70592 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 10.52% |
| LYNNE MULCAHY4 | 4802 SCHILLER PARK LN SUGAR LAND, TX 77479 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $2K | — | $2K | 10.20% |
| KATELYNN P. MULCAHY4 | 1212 FARNHAM CT E IRVING, TX 75062 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $257 | — | $257 | 1.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $939K |
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 | 1,684 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,687 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,361 | $118K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,994 | $657K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 950 | $620K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 950 | $320K |
| Other(5 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,994 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,994 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.