| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROKERS HOLDING GROUP3 Filed as: BROKERS HOLDING GROUP LLC | 455 ST ANDREWS ROAD COLUMBIA, SC 29210 | AETNA LIFE INSURANCE CO. | $15K | — | $15K | 1.26% |
| BROKERS HOLDING GROUP3 Filed as: BROKERS HOLDING GROUP, LLC | 250 BERRY HILL RD COLUMBIA, SC 29210 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 0.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | HUB INTERNATIONAL GULF METARIE, LA 70002 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $21K | $10K | $31K | 18.27% |
| BROKERS HOLDING GROUP3 Filed as: BROKERS HOLDING GROUP, LLC | BROKERS HOLDING GROUP, LLC LEXINGTON, SC 29072 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $16K | $16K | 9.60% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD-NC/SC | DBA HUB INTERNATIONAL SOUTHEAST RALEIGH, NC 27607 | DELTA DENTAL OF MISSOURI | $6K | — | $6K | 10.28% |
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 | 129 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 176 | $1.4M |
| Dental | DELTA DENTAL OF MISSOURI | 146 | $58K |
| Vision | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 110 | $169K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 110 | $169K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 110 | $169K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 110 | $169K |
| Other | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 110 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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.