| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC. | 2711 N HASKELL AVE SUITE 200 DALLAS, TX 75204 | BLUE CROSS BLUE SHIELD OF TEXAS | — | $33K | $33K | 0.24% |
| IMG3 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $267 | $267 | 0.03% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC. | PO BOX 61187 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | — | $89 | $89 | 0.01% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 10 N PARK DR #200 HUNT VALLEY, MD 21030 | METROPOLITAN LIFE INSURANCE COMPANY | — | $17 | $17 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE PRUDENTIAL INSURANCE COMPANY EIN 22-1211670 THIRD PARTY ADMIN | Claims processing; Contract Administrator Service code 12 | — | $46K |
| WEX ADMIN | Contract Administrator; Claims processing Service code 12 | 4321 20TH AVE S FARGO, ND 58103 | $32K |
| COMPSYCH EIN 35-3739783 THIRD PARTY ADMIN | Contract Administrator; Claims processing Service code 12 | — | $0 |
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 | 1,480 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,488 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 1,918 | $13.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,707 | $740K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 2,707 | $740K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,480 | $899K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,480 | $899K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,480 | $899K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,480 | $899K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,707 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.