| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT GROUP BENEFIT SERVICES | 7881 W CHARLESTON BLVD SUITE 140 LAS VEGAS, NV 89117 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $19K | $9K | $27K | 2.55% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | C/O JP MORGAN PO BOX 730054 DALLAS, TX 75373 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $16K | — | $16K | 1.47% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | C/O JP MORGAN PO BOX 730054 DALLAS, TX 75373 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 2.78% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP BENEFIT SERVICES | 7881 W CHARLESTON BLVD SUITE 140 LAS VEGAS, NV 89117 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 0.93% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | C/O JP MORGAN PO BOX 730054 DALLAS, TX 75373 | VISION SERVICE PLAN | $738 | — | $738 | 3.01% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP BENEFIT SERVICES | 7881 W CHARLESTON BLVD SUITE 140 LAS VEGAS, NV 89117 | VISION SERVICE PLAN | $504 | — | $504 | 2.06% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP BENEFIT SERVICES | 7881 W CHARLESTON BLVD SUITE 140 LAS VEGAS, NV 89117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $42 | $2K | 9.51% |
| BENEFITTING YOU INC3 | 2497 CITRUS GARDEN CIRCLE HENDERSON, NV 89052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $356 | $1K | 8.29% |
| MICHELLE RENE PAYNE3 | 852 CANDIDO GARCIA AVE HENDERSON, NV 89015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $788 | $27 | $815 | 4.61% |
| JENNIFER LIN KRAUS3 | 3713 COPPER KEG CT LAS VEGAS, NV 89129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $351 | $29 | $380 | 2.15% |
| OMEGA FINANCIAL AND INSURANCE SOLUT3 | 4663 CREEPING FIG CT LAS VEGAS, NV 89129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $101 | — | $101 | 0.57% |
| NICOLE BLANCHARD3 | 228 WEST STAGECOACH FLATS AVE N LAS VEGAS, NV 89031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $77 | — | $77 | 0.44% |
| LINDA WOODS3 | 9271 MARTEL AVE LAS VEGAS, NV 89148 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 0.37% |
| CLARICE R MIMS3 | 172-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $45 | $6 | $51 | 0.29% |
| JENNIFER WELLER3 | 1135 JAMESBURY RD LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | $7 | $50 | 0.28% |
| BRAD BIEL3 | 225 GRAND ST JERSEY CITY, NJ 07302 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $10 | $13 | 0.07% |
| JENNIFER RAY3 | 501 EAST LAKE MEAD PARKWAY HENDERSON, NV 89015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.06% |
| BRIDGETTE MILLER3 | 6495 CLARA BOW AVENUE LAS VEGAS, NV 89122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.06% |
| EVELYN GARCIA3 | 1562 1ST AVE NEW YORK, NY 10028 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | 16220 N SCOTTSDALE RD SUITE 600 SCOTTSDALE, AZ 85254 | HUMANA DENTAL INSURANCE COMPANY | $1K | — | $1K | 12.77% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP BENEFIT SERVICES | 7881 W CHARLESTON BLVD SUITE 140 LAS VEGAS, NV 89117 | HUMANA DENTAL INSURANCE COMPANY | $991 | — | $991 | 10.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GA INC | 1 GLENLAKE PKWY 11TH FL ATLANTA, GA 30328 | HUMANA DENTAL INSURANCE COMPANY | $39 | — | $39 | 0.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KUSHNER & COMPANY INC EIN 38-2444337 | Consulting (general); Accounting (including auditing) Service code 10 | 2427 W CENTRE AVE PORTAGE, MI 49024 | $13K |
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 | 197 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 274 | $1.1M |
| Dental | HUMANA DENTAL INSURANCE COMPANY | 166 | $10K |
| Vision | VISION SERVICE PLAN | 145 | $25K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 197 | $273K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 42 | $18K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 197 | $273K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 274 | — |
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."
No prospect flags tripped on this filing.