| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN INSURANCE SVCS., INC. | 80 SOUTH 8TH STREET, SUITE 1800 MINNEAPOLIS, MN 55402 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $120K | $0 | $120K | 8.97% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN OF FLORIDA | PO BOX 745834 ATLANTA, GA 30374 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $56K | $0 | $56K | 4.19% |
| STRATEGIC NON-MEDICAL SOLUTIONS LLC3 | ONE BEACON STREET, SUITE 17100 BOSTON, MA 02108 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $28K | $28K | 2.09% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $342 | $342 | 0.03% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN INSURANCE SVCS., INC. | PO BOX 749140 ATLANTA, GA 30374 | METROPOLITAN LIFE INSURANCE COMPANY | $63K | $102 | $63K | 14.81% |
| WATCHTOWER BENEFITS, LLC3 | 306 WEST ERIE STREET, SUITE 300 CHICAGO, IL 60654 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $0 | $7K | 1.60% |
| HAYS COMPANIES, INC.3 | 901 MARQUETTE AVENUE, SUITE 1800 MINNEAPOLIS, MN 55402 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $1K | $6K | 1.50% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN INSURANCE SVCS., INC. | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.25% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN LONE STAR INS. SVCS. | 5850 GRANITE PARKWAY, SUITE 350 PLANO, TX 75024 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $163 | $163 | 0.04% |
| STRATEGIC NON-MEDICAL SOLUTIONS LLC3 | ONE BEACON STREET, SUITE 17100 BOSTON, MA 02108 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $2K | $0 | $2K | 1.15% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN INSURANCE SVCS., INC. | 5850 GRANITE PARKWAY, SUITE 350 PLANO, TX 75024 | TRUSTMARK INSURANCE COMPANY | $59K | $0 | $59K | 60.00% |
| MY BENEFITS ADVICE, LLC3 | 332 BRIARFIELD DRIVE APEX, NC 27502 | TRUSTMARK INSURANCE COMPANY | $39K | $0 | $39K | 40.00% |
| WESTON BRYAN3 | 4816 ALLENCREST LANE DALLAS, TX 75244 | STANDARD INSURANCE COMPANY | $8K | $0 | $8K | 8.62% |
| REED HEADLEY SCHNITTKER3 | 2400 DALLAS PARKWAY, SUITE 260 PLANO, TX 75093 | STANDARD INSURANCE COMPANY | $6K | $0 | $6K | 7.05% |
| ERIK TEMPLIN3 | 5850 GRANITE PARKWAY, SUITE 350 PLANO, TX 75024 | STANDARD INSURANCE COMPANY | $6K | $0 | $6K | 6.33% |
| HAYS COMPANIES, INC.3 | 901 MARQUETTE AVENUE, SUITE 1800 MINNEAPOLIS, MN 55402 | STANDARD INSURANCE COMPANY | $0 | $2K | $2K | 1.73% |
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 | 1,294 | 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) | 1,294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 2,806 | $825K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 2,737 | $137K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,525 | $1.3M |
| Short-term disability(2 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,525 | $1.4M |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,525 | $1.3M |
| Other(3 contracts, 3 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,525 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,806 | — |
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.