| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS | 340 MACCORKLE AVE SE CHARLESTON, WV 25314 | NATIONWIDE INSURANCE COMPANY | $97K | — | $97K | 9.79% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 | 17475 JOVANNA DRIVE HOMEWOOD, IL 60430 | NATIONWIDE INSURANCE COMPANY | $43K | — | $43K | 4.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC EIN 36-4197088 NONE | Other insurance fees and expenses; Contract Administrator Service code 13 | 17475 JOVANNA DRIVE HOMEWOOD, IL 60430 | $350K |
| HEALTHCOMP EIN 36-4197088 NONE | Other fees; Other services Service code 49 | 18861 S. 90TH AVE. #A MOKENA, IL 60448 | $34K |
| CIGNA EIN 23-1503749 NONE | Other fees; Other services Service code 49 | P.O. BOX 8500 K 110 PHILADELPHIA, PA 19178 | $28K |
| TELADOC EIN 04-3705970 NONE | Other fees; Other services Service code 49 | 17304 PRESTON ROAD SUITE 730 DALLAS, TX 75252 | $23K |
| CURALINC EIN 33-1206383 NONE | Other services Service code 49 | 314 W SUPERIOR ST SUITE 601 CHICAGO, IL 60654 | $13K |
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 | 888 | 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) | 888 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | NATIONWIDE INSURANCE COMPANY | 888 | $987K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 888 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.