| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC NEW ENGLAND | PO BOX 62937 VIRGINIA BEACH, VA 23466 | HM LIFE INSURANCE COMPANY | $26K | — | $26K | 5.53% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 144 TURNPIKE ROAD, SUITE 330 SOUTHBOROUGH, MA 01772 | HM LIFE INSURANCE COMPANY | $21K | — | $21K | 4.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MA | DBA STRATEGIC BENEFIT ADVISORS 144 TURNPIKE ROAD, STE 330 SOUTHBOROUGH, MA 01772 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 9.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS, INC. EIN 06-1475928 HEALTH INS VENDOR | Other services; Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | $225K |
| OPTUM EIN 33-0441200 ADMIN FEES/OTHER | Other services; Contract Administrator; Claims processing Service code 12 | OPTUM CORPORATE HEADQUARTERS 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $24K |
| BROWN & BROWN OF MASSACHUSETTS LLC EIN 27-4732361 BROKER/CONSULTANT | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | 144 TURPIKE ROAD, SUITE 330 SOUTHBOROUOGH, MA 01772 | $9K |
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 | 564 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 99 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 663 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS, INC. | 58 | $237K |
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 473 | $32K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 622 | $475K |
| Other(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS, INC. | 58 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 622 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.