| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GUZZETTA BENEFIT SERVICES | 699 S FRIENDSWOOD DR SUITE 102 FRIENDSWOOD, TX 77546 | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | $20K | — | $20K | — |
| BLAISE A GUZZETTA Filed as: BLAISE ANTHONY GUZZETTA | 1306 EAGLE LAKES DR FRIENDSWOOD, TX 77546 | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | $15K | — | $15K | — |
| BLAISE A GUZZETTA3 | 699 S FRIENDSWOOD DR STE 102 FRIENDSWOOD, TX 77546 | UNITED HEALTH INSURANCE COMPANY | — | $20K | $20K | — |
| ROGER LAPHAM3 | P O BOX 711450 HOUSTON, TX 77271 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $181 | $2K | — |
| GUZZETTA BENEFIT SERVICES3 Filed as: GUZZETTA BENEFIT SERVICES INC | 699 S FRIENDSWOOD DR FRIENDSWOOD, TX 77546 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $845 | — | $845 | — |
| NANCY LAPHAM3 | P O BOX 711450 HOUSTON, TX 77271 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $256 | $7 | $263 | — |
| BRUCE D AKERS3 | 2383 CALYPSO LANE LEAGUE CITY, TX 77573 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | — |
| GUZETTA BENEFIT SERVICES INC3 | 699 S FRIENDSWOOD DRIVE STE 102 FRIENDSWOOD, TX 77546 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $72K | — | $72K | — |
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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTH INSURANCE COMPANY | 277 | $0 |
| Dental | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | 254 | $0 |
| Vision | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | 254 | $0 |
| Life insurance(2 contracts, 2 carriers) | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | 254 | $0 |
| Short-term disability | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | 254 | $0 |
| Long-term disability | THE GUARDINA LIFE INSURANCE COMPANY OF AMERICA | 254 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 277 | — |
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.