| 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 | $218K | — | $218K | 4.38% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 NEWBERRY RD GAINESVILLE, FL 32607 | DELTA DENTAL INSURANCE COMPANY | $48K | — | $48K | 9.19% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC. | 7800 BELFORT PKWY SUITE 120 JACKSONVILLE, FL 32256 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | $2K | $17K | 11.62% |
| LIAZON BENEFITS INC3 Filed as: LIAZON CORPORATION | 199 SCOTT ST SUITE 800 BUFFALO, NY 14204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $6K | $6K | 3.95% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 7800 BELFORT PKWY SUITE 120 JACKSONVILLE, FL 32256 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $2K | $12K | 11.52% |
| LIAZON BENEFITS INC3 Filed as: LIAZON CORPORATION | 199 SCOTT ST SUITE 800 BUFFALO, NY 14204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $5K | $5K | 4.53% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 7800 BELFORT PKWY SUITE 120 JACKSONVILLE, FL 32256 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $1K | $15K | 16.55% |
| LIAZON BENEFITS INC3 Filed as: LIAZON CORPORATION | 199 SCOTT ST SUITE 800 BUFFALO, NY 14204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $178 | $4K | $4K | 4.73% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FL INC | 4880 W NEWBERRY RD STE 100 GAINESVILLE, FL 32607 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $95 | $13K | 15.13% |
| LIAZON BENEFITS INC3 | 199 SCOTT ST FL 8 BUFFALO, NY 14204 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $8 | $3K | 3.76% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FL INC | 4211 W BOY SCOUT BLVD STE 1000 PO BOX 904037 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 1.35% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 W NEWBERRY RD STE 100 GAINESILLE, FL 32607 | HM LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| LIAZON BENEFITS INC3 Filed as: LIAZON CORP | 199 SCOTT ST FL 8 BUFFALO, NY 14204 | HM LIFE INSURANCE COMPANY | $3K | — | $3K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FL INC | 4880 W NEWBERRY RD STE 100 GAINESVILLE, FL 32607 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $95 | $8K | 15.77% |
| LIAZON BENEFITS INC3 | 199 SCOTT ST FLOOR 8 BUFFALO, NY 14204 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $8 | $2K | 3.91% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FL INC | 4211 W BOY SCOUT BLVD STE 1000 PO BOX 904037 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | — | $730 | $730 | 1.40% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 7800 BELFORT PKWY SUITE 120 JACKSONVILLE, FL 32256 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $333 | $59 | $392 | 11.76% |
| LIAZON BENEFITS INC3 Filed as: LIAZON CORPORATION | 199 SCOTT ST SUITE 800 BUFFALO, NY 14204 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $167 | $167 | 5.01% |
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 | 745 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 107 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 856 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 885 | $5.0M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 755 | $525K |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 885 | $5.0M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 745 | $151K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 745 | $107K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 745 | $88K |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 745 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 885 | — |
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.