| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL STREET BOSTON, MA 02110 | AETNA LIFE INSURANCE COMPANY | $5K | $31K | $36K | 3.02% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 420 LEXINGTON AVENUE NEW YORK, NY 10170 | AETNA LIFE INSURANCE COMPANY | $0 | $42 | $42 | 0.00% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL STREET BOSTON, MA 02110 | STANDARD INSURANCE COMPANY | $9K | $485 | $10K | 10.44% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL STREET BOSTON, MA 02110 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 9.63% |
| PATRICK J SULLIVAN3 Filed as: PATRICK J. SULLIVAN | 36 DESERT HIGHLAND SOUTH DRIVE HENDERSON, NV 89052 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 5.27% |
| DEBORAH L SENN3 Filed as: DEBORAH L. SENN | 5846 FALLING STREAM AVENUE LAS VEGAS, NV 89131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $497 | $0 | $497 | 1.03% |
| SAHAR QABAZARD | UNKNOWN LAS VEGAS, NV 89106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $485 | $0 | $485 | 1.01% |
| MARTIN J LEWIS3 Filed as: MARTIN J. LEWIS | 900 NORTH KINGSBURY AVENUE CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $465 | $0 | $465 | 0.97% |
| DWAYNE R MARTINEZ3 Filed as: DWAYNE R. MARTINEZ AND OTHER AGENTS | 4625 SOUTH POLARIS AVENUE SUITE 212 LAS VEGAS, NC 89103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $309 | $0 | $309 | 0.64% |
| SIMON B REYES3 Filed as: SIMON B. REYES | 724 AMBER HILLS DRIVE LAS VEGAS, NV 89123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $249 | $0 | $249 | 0.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN | UNKNOWN LAS VEGAS, NV 89106 | LEGAL CLUB OF AMERICA | $520 | $0 | $520 | 19.35% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 420 LEXINGTON AVENUE NEW YORK, NY 10170 | LEGAL CLUB OF AMERICA | $500 | $0 | $500 | 18.60% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 455 | $1.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 455 | $1.2M |
| Vision | AETNA LIFE INSURANCE COMPANY | 455 | $1.2M |
| Life insurance | STANDARD INSURANCE COMPANY | 136 | $93K |
| Short-term disability | STANDARD INSURANCE COMPANY | 136 | $93K |
| Long-term disability | STANDARD INSURANCE COMPANY | 136 | $93K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 455 | $1.2M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 136 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 455 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.