| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC. | 4880 W NEWBERRY RD, STE 100 GAINESVILLE, FL 32607 | UNITEDHEALTHCARE INSURANCE COMPANY | $160K | — | $160K | 3.34% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | 18101 VON KARMAN AVE, STE 600 IRVINE, CA 92612 | UNITEDHEALTHCARE INSURANCE COMPANY | $16K | — | $16K | 0.33% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 NEWBERRY RD GAINESVILLE, FL 32607 | DELTA DENTAL INSURANCE COMPANY | $43K | — | $43K | 10.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 NEWBERRY RD, STE 100 GAINESVILLE, FL 32607 | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | $16K | — | $16K | 3.83% |
| MARSH & MCLENNAN AGENCY LLC3 | PARK 80 WEST PLAZA TWO 250 PEHLE AVE SADDLE BROOK, NJ 07663 | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | $1K | — | $1K | 0.35% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC. | 4880 NEWBERRY RD STE 100 GAINESVILLE, FL 32607 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $1K | $14K | 13.69% |
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 | 586 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 40 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 628 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 588 | $5.2M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 622 | $426K |
| Vision | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 479 | $405K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $125K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 126 | $99K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 126 | $99K |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,083 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.