| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $417 | $12K | 23.04% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 294928378 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $146 | $11K | 22.64% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IA 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $347 | $10K | 21.26% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 294928378 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $123 | $10K | 20.77% |
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $235 | $6K | 21.81% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 294928378 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $73 | $6K | 21.15% |
| BARRY OLFERN AND ASSOC. INC4 Filed as: BARRY OLFERN AND ASSOCIATES INC | 954 TYLER ST HOLLYWOOD, FL 33993 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $502 | — | $502 | 5.20% |
| TOMAS M. DIEBOLD4 Filed as: TOMAS M DIEBOLD | 2517 SE CARPENTER ST PORT ST. LUCIE, FL 34984 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $372 | — | $372 | 3.85% |
| EMILY J. DIEBOLD4 Filed as: EMILY J DIEBOLD | 2517 SE CARPENTER ST PORT ST. LUCIE, FL 34984 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $152 | — | $152 | 1.57% |
| NEW BIZ LLC4 | 4102 COLUMNS DR SE MARIETTA, GA 30067 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $149 | — | $149 | 1.54% |
| FRAN TARKENTON4 | 3340 PEACHTREE RD NE STE 2300 ATLANTA, GA 30326 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $139 | — | $139 | 1.44% |
| ALISTAIR EDWARDS4 | 723 OAK MOUNTAIN RD NW KENNESAW, GA 30152 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $130 | — | $130 | 1.35% |
| THOMPSON SUCCESS PARTNERS, INC.4 Filed as: THOMPSON SUCCESS PARTNERS INC | 2776 CREARY ST MATLACHA, FL 33993 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $91 | — | $91 | 0.94% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA, INC. NONE | Direct payment from the plan; Claims processing Service code 12 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $412K |
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 | 1,068 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 41 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 233 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,342 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 354 | $123K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 870 | $58K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,068 | $267K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 40 | $4K |
| Long-term disability | LIFE INSURANCE COMPANMY OF NORTH AMERICA | 702 | $209K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 847 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,068 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.