| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.21% |
| FM FINANCIAL SERVICES INCORPORATED3 | 2677 ROCHELLE PLACE SIMI VALLEY, CA 93063 | CIGNA HEALTH AND LIFE INSURANCE CO AND AFFILIATES | $13K | $0 | $13K | 9.92% |
| AUSTIN & CO INC3 Filed as: AUSTIN AND CO INC | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $2K | $0 | $2K | 6.49% |
| AUSTIN & CO INC3 Filed as: AUSTIN AND CO INC. | 20 CORPORATE WOODS BLVD. ALBANY, NY 12211 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $1K | $0 | $1K | 10.13% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES | 4634 GULFSTARR DRIVE DESTIN, FL 32541 | VISION SERVICE PLAN | $574 | $0 | $574 | 8.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $20K |
| WEX HEALTH INC. EIN 06-1593514 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $3K |
| CIGNA | Other services Service code 49 | — | $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 | 109 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE CO AND AFFILIATES | 113 | $129K |
| Vision | VISION SERVICE PLAN | 61 | $6K |
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 117 | $10K |
| Long-term disability | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 85 | $35K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 154 | $684K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.