| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHARLES BENTZ3 Filed as: CHARLES T. BENTZ | 57 E WASHINGTON ST CHAGRIN FALLS, OH 44022 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $276K | $0 | $276K | 4.51% |
| PRUDENTIAL COMPANY OF AMERICA5 | 751 BROAD STREET NEWARK, NJ 07102 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $253K | $253K | 4.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA N/A | Contract Administrator Service code 13 | P.O. BOX 70944 CHICAGO, IL 60673 | $3.9M |
| UNITED HEALTHCARE N/A | Contract Administrator Service code 13 | 22561 NETWORK PLACE CHICAGO, IL 60673 | $881K |
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 | 9,541 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 450 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 33 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,024 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO | 967 | $545K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,541 | $6.1M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,541 | $6.1M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,541 | $6.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,541 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.