| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 312 ELM STREET, 24TH FLOOR CINCINNATI, OH 45202 | AETNA HEALTH, INC. | $21K | $0 | $21K | 0.24% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 8311 WEST SUNSET ROAD, SUITE 120 LAS VEGAS, NV 89113 | AETNA LIFE INSURANCE COMPANY | $0 | $83 | $83 | 0.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 8311 WEST SUNSET ROAD, SUITE 120 LAS VEGAS, NV 89113 | HARTFORD LIFE AND ACCIDENT | $38K | $0 | $38K | 14.09% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 6100 FAIRVIEW ROAD, SUITE 1400 CHARLOTTE, NC 28210 | HARTFORD LIFE AND ACCIDENT | $2K | $0 | $2K | 0.82% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 8311 WEST SUNSET ROAD, SUITE 120 LAS VEGAS, NV 89113 | RELIASTAR LIFE INSURANCE COMPANY | $15K | $0 | $15K | 21.83% |
| EMPYREAN INSURANCE SERVICES, INC.3 | 9009 WEST LOOP SOUTH, SUITE 600 HOUSTON, TX 77096 | RELIASTAR LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.64% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS | 120-A GILLS CREEK PARKWAY COLUMBIA, SC 29209 | TRUSTMARK INSURANCE COMPANY | $996 | $0 | $996 | 4.58% |
| USI INSURANCE SERVICES LLC3 | 21250 HAWTHORNE BOULEVARD SUITE 600 TORRANCE, CA 90503 | TRUSTMARK INSURANCE COMPANY | $400 | $0 | $400 | 1.84% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C. FOY AND ASSOC. INS. SVS. | 21650 OXNARD STREET, SUITE 1900 WOODLAND HILLS, CA 91367 | METLIFE LEGAL PLANS | $0 | $68 | $68 | 1.18% |
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 | 2,072 | 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) | 2,072 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 2,763 | $9.8M |
| Dental | AETNA LIFE INSURANCE COMPANY | 2,763 | $1.3M |
| Vision | AETNA LIFE INSURANCE COMPANY | 2,763 | $1.3M |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,072 | $293K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 2,072 | $271K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,072 | $271K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 2,763 | $9.8M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 2,072 | $344K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,763 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.