| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 8000 NORMAN CENTER DRIVE BLOOMINGTON, MN 55437 | AETNA LIFE INSURANCE COMPANY | $165K | $0 | $165K | 2.27% |
| USI INSURANCE SERVICES LLC3 | 600 HIGHWAY169 SOUTH SAINT LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE COMPANY | $158K | $0 | $158K | 2.16% |
| EMPLOYEE FAMILY PROTECTION INC3 | 90 KREIGER LANE GLASTONBURY, CT 06033 | AETNA LIFE INSURANCE COMPANY | $18K | $0 | $18K | 0.24% |
| USI INSURANCE SERVICES LLC3 | 1000 BURNETT AVENUE, SUITE 330 CONCORD, CA 94520 | AETNA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 0.10% |
| USI INSURANCE SERVICES LLC3 | 21250 HAWTHORNE BOULEVARD SUITE 380 TORRANCE, CA 90503 | AETNA LIFE INSURANCE COMPANY | $0 | $167 | $167 | 0.00% |
| USI INSURANCE SERVICES LLC3 | 8000 NORMAN CENTER DRIVE BLOOMINGTON, MN 55437 | AETNA HEALTH OF CALIFORNIA, INC. | $42K | $0 | $42K | 2.27% |
| USI INSURANCE SERVICES LLC3 | 600 HIGHWAY169 SOUTH SAINT LOUIS PARK, MN 55426 | AETNA HEALTH OF CALIFORNIA, INC. | $42K | $0 | $42K | 2.25% |
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW ROAD, SUITE 1400 CHARLOTTE, NC 28210 | HARTFORD LIFE AND ACCIDENT | $16K | $0 | $16K | 4.64% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | HARTFORD LIFE AND ACCIDENT | $0 | $865 | $865 | 0.25% |
| USI INSURANCE SERVICES LLC3 | PO BOX 39000 SAN FRANCISSCO, CA 94139 | VISION SERVICE PLAN | $7K | $0 | $7K | 9.99% |
| USI INSURANCE SERVICES LLC3 | 600 HIGHWAY169 SOUTH SAINT LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.02% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $335 | $0 | $335 | 15.00% |
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 | 549 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 551 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,173 | $9.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,173 | $7.3M |
| Vision | VISION SERVICE PLAN | 478 | $72K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 553 | $383K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 553 | $383K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 553 | $383K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,173 | $9.2M |
| Other(4 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 1,173 | $7.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,173 | — |
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.