| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 203383 DALLAS, TX 75320 | STANDARD INSURANCE COMPANY | $121K | $35K | $156K | 4.14% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $11K | $0 | $11K | 0.29% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | AETNA LIFE INSURANCE COMPANY | $0 | $132 | $132 | 0.06% |
| USI INSURANCE SERVICES LLC3 | 1350 TREAT BOULEVARD, SUITE 500 WALNUT CREEK, CA 94597 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $2K | $0 | $2K | 2.39% |
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 | 5,062 | 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) | 5,062 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 1,310 | $7.9M |
| Dental | AETNA LIFE INSURANCE COMPANY | 826 | $224K |
| Life insurance | STANDARD INSURANCE COMPANY | 5,052 | $3.8M |
| Short-term disability | STANDARD INSURANCE COMPANY | 5,052 | $3.8M |
| Long-term disability | STANDARD INSURANCE COMPANY | 5,052 | $3.8M |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 1,310 | $7.9M |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 5,052 | $3.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,052 | — |
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."
No prospect flags tripped on this filing.