| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 8311 WEST SUNSET RD STE 120 LAS VEGAS, NV 89113 | HARTFORD LIFE AND ACCIDENT | — | $6K | $6K | 1.63% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | HARTFORD LIFE AND ACCIDENT | — | $6K | $6K | 1.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 100 RIALTO PLACE STE 900 MELBOURNE, FL 32901 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 0.36% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE NV | 2300 W SAHARA AVE STE 800 LAS VEGAS, NV 89102 | RELIASTAR LIFE INSURANCE COMPANY | $8K | — | $8K | 12.76% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | RELIASTAR LIFE INSURANCE COMPANY | $7K | — | $7K | 11.02% |
| EMPYREAN INSURANCE SERVICES, INC.3 | 9009 WEST LOOP SOUTH, SUITE 600 HOUSTON, TX 77096 | RELIASTAR LIFE INSURANCE COMPANY | — | $2K | $2K | 2.39% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS | 120-A GILLS CREEK PARKWAY COLUMBIA, SC 29209 | TRUSTMARK INSURANCE COMPANY | $620 | — | $620 | 3.48% |
| USI INSURANCE SERVICES LLC3 | 21250 HAWTHORNE BLVD #600 TORRANCE, CA 90503 | TRUSTMARK INSURANCE COMPANY | $266 | — | $266 | 1.49% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES NV | 975 KELLY JOHNSON DRIVE #100 LAS VEGAS, NV 89119 | METLIFE LEGAL PLANS | $322 | — | $322 | 4.89% |
| INSURCORP3 | 9033 W SAHARA AVE LAS VEGAS, NV 89117 | METLIFE LEGAL PLANS | — | $37 | $37 | 0.56% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS | 120-A GILLIS CREEK PARKWAY COLUMBIA, SC 29209 | TRUSTMARK INSURANCE COMPANY | $27 | — | $27 | 7.71% |
| USI INSURANCE SERVICES LLC3 | 21250 HAWTHORNE BLVD #600 TORRANCE, CA 90503 | TRUSTMARK INSURANCE COMPANY | $12 | — | $12 | 3.43% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS | 120-A GILLS CREEK PARKWAY COLUMBIA, SC 29209 | TRUSTMARK INSURANCE COMPANY | $18 | — | $18 | 7.89% |
| USI INSURANCE SERVICES LLC3 | 21250 HAWTHORNE BOULEVARD SUITE 600 TORRANCE, CA 90503 | TRUSTMARK INSURANCE COMPANY | $8 | — | $8 | 3.51% |
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 | 1,355 | 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) | 1,355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 1,741 | $1.2M |
| Dental | AETNA LIFE INSURANCE CO. | 1,741 | $1.2M |
| Vision | AETNA LIFE INSURANCE CO. | 1,741 | $1.2M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,355 | $393K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 1,355 | $393K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,355 | $393K |
| Other(6 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 1,355 | $482K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,741 | — |
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.