| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HJ KNIGHT INTERNATIONAL3 Filed as: HJ KNIGHT INSURANCE AGENCY | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | THE UNION LABOR LIFE INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 CLAIM ADMINISTRATION | Participant communication; Named fiduciary; Other services; Non-monetary compensation; Float revenue; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | A CIGNA COMPANY HARTFORD, CT 06152 | $170K |
| MORGAN STANLEY | Other commissions; Other services; Securities brokerage; Recordkeeping fees; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Distribution (12b-1) fees Service code 15 | — | $2K |
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 | 189 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCC LIFE INSURANCE COMPANY | 189 | $247K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 392 | $25K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 392 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 392 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.