| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62939 VIRGINIA BEACH, VA 23466 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $22K | $8K | $31K | 8.09% |
| COTTINGHAM & BUTLER3 | PO BOX 28 DUBUQUE, IA 52004 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $13K | — | $13K | 3.44% |
| ACCRETIVE ENROLLMENT SERVICES LLC3 Filed as: ACCRETIVE ENROLLMENT SERVICES DBA P | 13750 SAN PEDRO AVE - SUITE 550 SAN ANTONIO, TX 78232 | TRUSTMARK INSURANCE COMPANY | $5K | — | $5K | 6.81% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 61187 VIRGINIA BEACH, VA 23466 | TRUSTMARK INSURANCE COMPANY | $4K | — | $4K | 5.11% |
| BRYAN INGLIS3 | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $268 | — | $268 | 0.36% |
| ALLEN BAKER3 Filed as: ALLEN C BAKER | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $147 | — | $147 | 0.19% |
| ALLISON WISE3 | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $38 | — | $38 | 0.05% |
| ACCRETIVE ENROLLMENT SERVICES LLC3 Filed as: ACCRETIVE ENROLLMENT SERVICES DBA P | 13750 SAN PEDRO AVE - SUITE 550 SAN ANTONIO, TX 78232 | TRUSTMARK INSURANCE COMPANY | $4K | — | $4K | 6.66% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 61187 VIRGINIA BEACH, VA 23466 | TRUSTMARK INSURANCE COMPANY | $3K | — | $3K | 4.92% |
| BRYAN INGLIS3 | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $274 | — | $274 | 0.43% |
| ALLISON WISE3 | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $45 | — | $45 | 0.07% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. - DALLAS, TX | PO BOX 61187 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE COMPA | $1K | — | $1K | 2.21% |
| ACCRETIVE ENROLLMENT SERVICES LLC3 Filed as: ACCRETIVE ENROLLMENT SERVICES DBA P | 13750 SAN PEDRO AVE - SUITE 550 SAN ANTONIO, TX 78232 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 3.70% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 61187 VIRGINIA BEACH, VA 23466 | TRUSTMARK INSURANCE COMPANY | $1K | — | $1K | 2.69% |
| BRYAN INGLIS3 | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $97 | — | $97 | 0.20% |
| ALLEN BAKER3 Filed as: ALLEN C BAKER | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $49 | — | $49 | 0.10% |
| ALLISON WISE3 | 6200 SAVOY - SUITE 345 HOUSTON, TX 77063 | TRUSTMARK INSURANCE COMPANY | $18 | — | $18 | 0.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES LLC- | MOUNTAIN CENTRAL PO BOX 62187 VIRGINIA BEACH, VA 23466 | MUTUAL OF OMAHA INSURANCE COMPANY | $269 | $144 | $413 | 23.02% |
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 | 1,153 | 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) | 1,154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE COMPA | 1,762 | $63K |
| Life insurance(2 contracts, 2 carriers) | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 2,152 | $453K |
| Long-term disability | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 2,152 | $378K |
| Other(4 contracts, 3 carriers) | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 2,152 | $518K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,152 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.