| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLLIS, WALTER R3 | 672 PENINSULA WAY HOUSTON, AL 35572 | CALIFORNIA PHYSICIANS' SERVICE | $34K | — | $34K | 3.06% |
| WALT HOLLIS3 | 672 PENINSULA WAY HOUSTON, AL 355723074 | KAISER FOUNDATION HEALTH PLAN, INC. | $19K | — | $19K | 7.77% |
| WALTER HOLLIS III3 | 672 PENINSULA WAY HOUSTON, AL 35572 | METLIFE | $4K | — | $4K | 3.10% |
| WALT HOLLIS3 | 672 PENINSULA WAY HOUSTON, AL 355723074 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 4.90% |
| HOLLIS, WALT3 | 1715 EAST TRADITION LANE LAKE HAVASU CITY, AZ 86404 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 8.98% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 5.00% |
| HOLLIS, WALT3 Filed as: HOLLIS, WALT, | 1715 EAST TRADITION LANE LAKE HAVASU CITY, AZ 86404 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 19.44% |
| WALTER HOLLIS III3 | 672 PENINSULA WAY HOUSTON, AL 35572 | METLIFE | $2K | — | $2K | 10.00% |
| HOLLIS, WALT3 | 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 | $699 | — | $699 | 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 | 173 | 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) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 177 | $1.4M |
| Dental | METLIFE | 138 | $113K |
| Vision | METLIFE | 129 | $16K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 9 | $14K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $50K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 177 | $1.1M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 127 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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.