| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | DEPT 133667 PO BOX 39000 SAN FRANCISCO, CA 94239 | AETNA LIFE INSURANCE CO | $244K | $9K | $253K | 2.30% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | DEPT 133667 PO BOX 39000 SAN FRANCISCO, CA 94139 | AETNA LIFE INSURANCE CO | $26K | — | $26K | 0.24% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | DEPT 133667 PO BOX 39000 SAN FRANCISCO, CA 94139 | AETNA HEALTH INC | $105K | — | $105K | 1.94% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | DEPT 133667 PO BOX 39000 SAN FRANCISCO, CA 94139 | AETNA HEALTH INC | $12K | — | $12K | 0.23% |
| BENEFITS TECHNOLOGIES LLC3 Filed as: BENEFITS TECHNOLOGIES LLC. | 1200 E TAFT AVE SAPULPA, OK 74066 | AETNA LIFE INSURANCE CO | $113K | — | $113K | 37.73% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | DEPT 133667 PO BOX 39000 SAN FRANCISCO, CA 94139 | AETNA LIFE INSURANCE CO | $53K | — | $53K | 17.76% |
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 | 1,367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 92 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,459 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Dental | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Vision | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Life insurance | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Short-term disability | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Long-term disability | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Other | AETNA LIFE INSURANCE CO | 2,427 | $11.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,427 | — |
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.