| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEIT SERVICES INC. | 1111 SUPERIOR AVE E SUITE 1601 CLEVELAND, OH 44114 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $41 | $8K | 3.23% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 1111 SUPERIOR AVE E SUITE 1601 CLEVELAND, OH 44114 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $41 | $4K | 3.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 1111 SUPERIOR SVE SUITE 1601 CLEVELAND, OH 44114 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 17.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 505 N. BRAND BLVD SUITE 600 GLENDALE, CA 91203 | STANDARD INSURANCE COMPANY | $366 | $0 | $366 | 2.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $203K |
| GALLAGHER BENEFIT SERVICES CORP EIN 36-4291971 BROKER | Other commissions Service code 55 | 1100 SUPERIOR AVE E SUITE 1700 CLEVELAND, OH 44114 | $0 |
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 | 469 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 483 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 366 | $253K |
| Vision | EYEMED VISION CARE | 320 | $17K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 249 | $114K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 366 | $253K |
| Long-term disability | STANDARD INSURANCE COMPANY | 45 | $16K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 467 | $293K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 249 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 467 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.