| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 2711 NORTH HASKELL, SUITE 2000 DALLAS, TX 75204 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $33K | $833 | $34K | 11.08% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $8K | $0 | $8K | 9.83% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $5K | $15K | 21.49% |
| P3 WORKPLACE SOLUTIONS5 | 7909 CONCORD HILLS DRIVE, SUITE 105 BRENTWOOD, TN 37027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 4.86% |
| NICOLE GOLDEN3 Filed as: NICOLE D. GOLDEN | 6729 SUGAR HILL DRIVE NASHVILLE, TN 37211 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19K | $0 | $19K | 32.32% |
| DISCOVER THE POWER LLC3 Filed as: DISCOVER THE POWER, LLC | 7909 CONCORD HILLS DRIVE, SUITE 105 BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 7.09% |
| CAROLYN S LEE3 Filed as: CAROLYN S. LEE | 720 ARKANSAS BOULEVARD TEXARKANA, AR 71854 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 3.29% |
| SHERRY L LILE3 Filed as: SHERRY P. LILE | 3533 SKYLINE BOULEVARD TEXARKANA, AR 75503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $822 | $0 | $822 | 1.37% |
| JOHN M. LEE AND OTHER AGENTS3 | 720 ARKANSAS BOULEVARD TEXARKANA, AR 71854 | CONTINENTAL AMERICAN INSURANCE COMPANY | $518 | $0 | $518 | 0.86% |
| NICHOLETTE MARIE THOMPSON3 Filed as: NICHOLETTE M. MARTINEZ | 750 ARKANSAS BOULEVARD TEXARKANA, AR 71854 | CONTINENTAL AMERICAN INSURANCE COMPANY | $290 | $0 | $290 | 0.48% |
| DEBORAH A CHILDRESS3 Filed as: DEBORAH A. CHILDRESS | 1907 ASH STREET TEXARKANA, AR 71854 | CONTINENTAL AMERICAN INSURANCE COMPANY | $255 | $0 | $255 | 0.43% |
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 | 223 | 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. |
| Total participants (= "Plan participants" tile) | 223 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 154 | $305K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 161 | $77K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 161 | $77K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $72K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $72K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $72K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 154 | $305K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 246 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 246 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.