| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET CINCINNATI, OH 45202 | AETNA LIFE INSURANCE COMPANY | $60K | $13K | $73K | 3.32% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 4555 LAKE FOREST DRIVE CINCINNATI, OH 45242 | AETNA LIFE INSURANCE COMPANY | $31K | $0 | $31K | 1.41% |
| THOMAS MOORE3 | 5415 VIA RENE YORBA LINDA, CA 92886 | AETNA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 0.11% |
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET CINCINNATI, OH 45202 | AETNA HEALTH OF CALIFORNIA, INC | $41K | $0 | $41K | 2.29% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 4555 LAKE FOREST DRIVE CINCINNATI, OH 45242 | AETNA HEALTH OF CALIFORNIA, INC | $20K | $0 | $20K | 1.10% |
| THOMAS MOORE3 | 5415 VIA RENE YORBA LINDA, CA 92886 | AETNA HEALTH OF CALIFORNIA, INC | $2K | $0 | $2K | 0.09% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $28K | $0 | $28K | 8.76% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | PO BOX 736061 CHICAGO, IL 60673 | STANDARD INSURANCE COMPANY | $11K | $0 | $11K | 3.42% |
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 | 559 | 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) | 559 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 813 | $4.0M |
| Dental | AETNA LIFE INSURANCE COMPANY | 813 | $2.2M |
| Vision | AETNA LIFE INSURANCE COMPANY | 813 | $2.2M |
| Life insurance | STANDARD INSURANCE COMPANY | 644 | $320K |
| Short-term disability | STANDARD INSURANCE COMPANY | 644 | $320K |
| Long-term disability | STANDARD INSURANCE COMPANY | 644 | $320K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 813 | $4.0M |
| Other | STANDARD INSURANCE COMPANY | 644 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 813 | — |
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.