| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLLIS, WALTER R3 | 672 PENINSULA WAY HOUSTON, AL 35572 | CALIFORNIA PHYSICIANS' SERVICE | $38K | — | $38K | 4.32% |
| WALT HOLLIS3 | 672 PENINSULA WAY HOUSTON, AL 355723074 | KAISER FOUNDATION HEALTH PLAN INC | $12K | — | $12K | 5.69% |
| WALTER HOLLIS III3 | 672 PENINSULA WAY HOUSTON, AL 35572 | METLIFE | $5K | — | $5K | 4.45% |
| WALT HOLLIS3 | 672 PENINSULA WAY HOUSTON, AL 355723074 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 5.40% |
| HOLLIS, WALT3 | 1715 EAST TRADITION LANE LAKE HAVASU CITY, AZ 86404 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 10.57% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 5.00% |
| HOLLIS, WALT3 Filed as: HOLLIS, WALT, | 1715 EAST TRADITION LANE LAKE HAVASU CITY, AZ 86404 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 19.53% |
| WALTER HOLLIS III3 | 672 PENINSULA WAY HOUSTON, AL 35572 | METLIFE | $2K | — | $2K | 10.00% |
| WALT HOLLIS3 | 1715 EAST TRADITION LANE LAKE HAVASU CITY, AZ 86404 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 15.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $566 | — | $566 | 5.00% |
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 | 147 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 151 | $1.2M |
| Dental | METLIFE | 119 | $117K |
| Vision | METLIFE | 113 | $17K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 8 | $11K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 147 | $36K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 151 | $880K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 94 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.