| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIDELITY HEALTH INSURANCE SERVICES3 Filed as: FIDELITY HEALTH INSURANCE SVCS LLC | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $75K | — | $75K | 14.88% |
| BENEFEX BENEFIT CONSULTING3 Filed as: BENEFEX BENEFIT CONSULTING INC | 23 VREELAND RD STE 100, P O BOX 1658 FLORHAM PARK, NJ 079321514 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| FIDELITY HEALTH INSURANCE SERVICES3 Filed as: FIDELITY HEALTH INS SERVICES LLC | PO BOX 844303 PHILADELPHIA, PA 19182 | STANDARD INSURANCE COMPANY | $14K | — | $14K | 5.65% |
| BENEFEX BENEFIT CONSULTING3 Filed as: BENEFEX BENEFIT CONSULTING INC | 23 VREELAND RD FLORHAM PARK, NJ 07039 | STANDARD INSURANCE COMPANY | $961 | $4K | $5K | 2.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 59-1031071 CONTRACT ADMIN | Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Other insurance fees and expenses; Float revenue; Named fiduciary Service code 12 | — | $112K |
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 | 102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 151 | $504K |
| Dental | STANDARD INSURANCE COMPANY | 152 | $239K |
| Vision | STANDARD INSURANCE COMPANY | 152 | $239K |
| Life insurance | STANDARD INSURANCE COMPANY | 152 | $239K |
| Short-term disability | STANDARD INSURANCE COMPANY | 152 | $239K |
| Long-term disability | STANDARD INSURANCE COMPANY | 152 | $239K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 152 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.