| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY LLC | 820 N. ORLEANS #325 CHICAGO, IL 60610 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $46K | $4K | $50K | 2.55% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N. MARTINGALE RD., STE. 100 SCHAUMBURG, IL 60173 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $44K | $0 | $44K | 2.23% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 12748 ROANOKE, VA 24028 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $29K | $0 | $29K | 5.43% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | PO BOX 12748 ROANOKE, VA 24028 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | $0 | $14K | 5.39% |
| MARSH & MCLENNAN AGENCY LLC4 | 20 N. MARTINGALE RD., STE. 100 SCHAUMBURG, IL 60173 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $5K | $0 | $5K | 7.88% |
| PAMELA HOOD4 | 12620 HAW BRANCH LANE AMELIA COURT HOUSE, VA 23002 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $4K | $0 | $4K | 6.50% |
| ALAN ROMAN4 | 7220 PRINCETON AVE ST. LOUIS, MO 63130 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $308 | $0 | $308 | 0.51% |
| DAVE HALL INC4 Filed as: DAVE HALL INC. | 9748 N. CANTERBURY PARK CI HIGHLAND, UT 84003 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $97 | $0 | $97 | 0.16% |
| MILLENGROUP LLC4 Filed as: MILLENGROUP, LLC | 7501 BOULDER VIEW DR., STE. 220 NORTH CHESTERFIELD, VA 23225 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $91 | $0 | $91 | 0.15% |
| JILLETTA RILEY4 | 16 STERN PL FORDS, NJ 08863 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $35 | $0 | $35 | 0.06% |
| THE AGURS GROUP INC.4 | 5721 FRENCH LACE COURT. NORTH LAS VEGAS, NV 89081 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $29 | $0 | $29 | 0.05% |
| PHYLLIS ADAMS4 | 210 TYRONE RD. BALTIMORE, MD 21212 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $26 | $0 | $26 | 0.04% |
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 | 1,597 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 61 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 24 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,682 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 120 | $631K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,725 | $2.0M |
| Vision | VISION SERVICE PLAN | 1,575 | $176K |
| Life insurance | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 1,788 | $539K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,788 | $258K |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,788 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,788 | — |
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.