| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 600 HIGHWAY 169 SOUTH SUITE 1200 ST LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE COMPANY | $84K | $0 | $84K | 3.51% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 600 HIGHWAY 169 SOUTH, SUITE 1200 ST. LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 0.29% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 8311 WEST SUNSET ROAD, SUITE 120 LAS VEGAS, NV 89113 | RELIASTAR LIFE INSURANCE COMPANY | $40K | $0 | $40K | 63.75% |
| EMPYREAN INSURANCE SERVICES, INC.3 Filed as: EMPYREAN INSURANCE SERVICES, INC | 9009 WEST LOOP SOUTH, SUITE 600 HOUSTON, TX 77096 | RELIASTAR LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.90% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS | 120-A GILLS CREEK PARKWAY COLUMBIA, SC 29209 | TRUSTMARK INSURANCE COMPANY | $4K | $0 | $4K | 10.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 21250 HAWTHORNE BOULEVARD SUITE 600 TORRANCE, CA 90503 | TRUSTMARK INSURANCE COMPANY | $2K | $0 | $2K | 5.21% |
| JAMES VINCENT PETERSEN JR3 Filed as: JAMES V. PETERSEN, JR. | 10736 KNICHERB OCHER AVENUE LAS VEGAS, NV 89166 | CONTINENTAL AMERICAN INSURANCE COMPANY | $551 | $0 | $551 | 4.48% |
| COLLEEN LAPRADE3 Filed as: COLLEEN M. LAPRADE AND OTHER AGENTS | 6005 HIDDEN VALLEY ROAD, SUITE 150 CARLSBAD, CA 92011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $272 | $0 | $272 | 2.21% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 604 WEST MOANA LANE RENO, NV 89509 | CONTINENTAL AMERICAN INSURANCE COMPANY | $141 | $0 | $141 | 1.15% |
| TAMMY A MORGART3 Filed as: TAMMY A. SWAIN | 5463 SOUTH DURANGO DRIVE, SUITE B LAS VEGAS, NV 89113 | CONTINENTAL AMERICAN INSURANCE COMPANY | $65 | $0 | $65 | 0.53% |
| DAVID M COUGHLIN3 Filed as: DAVID M. COUGHLIN | 4253 HUNT DRIVE, SUITE 1607 CARROLLTON, TX 75010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | $0 | $53 | 0.43% |
| LARRY W NICHOLSON3 Filed as: LARRY NICHOLSON | 861 NORTH AUBURND ALE STREET MEMPHIS, TN 38107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | $0 | $42 | 0.34% |
| TAMMY A MORGART3 Filed as: TAMMY A. SWAIN | 5463 SOUTH DURANGO DRIVE, SUITE B LAS VEGAS, NV 89113 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | $0 | $4 | 0.03% |
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 | 1,078 | 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) | 1,078 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 1,812 | $7.5M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,812 | $2.4M |
| Vision | AETNA LIFE INSURANCE COMPANY | 1,812 | $2.4M |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,812 | $2.4M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 1,812 | $2.4M |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 1,812 | $2.4M |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 1,812 | $7.5M |
| Other(5 contracts, 5 carriers) | AETNA LIFE INSURANCE COMPANY | 1,812 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,812 | — |
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.