| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 30150 TELEGRAPH ROAD, SUITE 408 BINGHAM FARMS, MI 48025 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $94K | $0 | $94K | 2.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 4000 MIDATLANTIC AVENUE, SUITE 300 MT. LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $209K | $0 | $209K | 6.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 30150 TELEGRAPH ROAD, SUITE 408 BINGHAM FARMS, MI 48025 | AETNA LIFE INSURANCE COMPANY | $0 | $18K | $18K | 0.54% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLAZA ITASCA, IL 60143 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $17K | $0 | $17K | 10.00% |
| EMPOWER BENEFITS INC3 Filed as: EMPOWER BENEFITS, INC. | 3606 ENTERPRISE AVENUE, SUITE 304 NAPLES, FL 34104 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $2K | $15K | 25.44% |
| EMPOWER BENEFITS INC3 Filed as: EMPOWER BENEFITS, INC. | 3606 ENTERPRISE AVENUE, SUITE 304 NAPLES, FL 34104 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $683 | $5K | 24.97% |
No Schedule C service providers reported on this filing.
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 | 2,153 | 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) | 2,153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,395 | $3.8M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,395 | $3.8M |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 2,805 | $3.3M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 2,805 | $3.3M |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 2,805 | $3.3M |
| Other(5 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 2,917 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,395 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.