| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA, INC. | ONE STATE STREET 9TH FLOOR NEW YORK, NY 10004 | DELTA DENTAL | $57K | — | $57K | 3.09% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PKWY STE 400 ATLANTA, GA 30342 | DELTA DENTAL | $29K | — | $29K | 1.56% |
| EPIC3 | PO BOX 6180 CAROL STREAM, IL 601976180 | SECURIAN LIFE INSURANCE COMPANY | $45K | — | $45K | 3.81% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA, INC. | 200 GLENRIDGE POINT PKWY STE 400 ATLANTA, GA 30342 | RELIASTAR LIFE INSURANCE COMPANY | $33K | — | $33K | 7.84% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PKWY STE 400 ATLANTA, GA 30342 | RELIASTAR LIFE INSURANCE COMPANY | $23K | — | $23K | 5.49% |
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 | 3,219 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,219 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 82 | $466K |
| Dental | DELTA DENTAL | 4,598 | $1.8M |
| Vision | EYE MED | 4,024 | $245K |
| Life insurance | SECURIAN LIFE INSURANCE COMPANY | 3,219 | $1.2M |
| Short-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,199 | $60K |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,849 | $396K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 82 | $466K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 2,987 | $418K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,598 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.