| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 100 MERIDIAN CENTRE BLVD SUITE 100 ROCHESTER, NY 14618 | EXCELLUS BLUE CROSS BLUE SHIELD | $66K | $0 | $66K | 3.51% |
| EMPOWER BENEFITS INC | 5405 CYPRESS CENTER DR STE 100 TAMPA, FL 33609 | VISION SERVICE PLAN | $137K | $0 | $137K | 9.00% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES | 25909 PALA MISSION VIEJO, CA 92691 | AETNA LIFE INSURANCE CO | $11K | $0 | $11K | 56.82% |
| GARNETT POWERS & ASSOCIATES INC | 25909 PALA MISSION VIEJO, CA 92691 | AETNA LIFE INSURANCE CO | -$3 | $356 | $353 | 1.84% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 15-0329043 | Claims processing Service code 12 | — | $6.9M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $2.6M |
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 | 17,333 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,299 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 19,632 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | MVP HEALTHCARE | 1,883 | $11.3M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 9,908 | $1.5M |
| Prescription drug | EXCELLUS BLUE CROSS BLUE SHIELD | 186 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,908 | — |
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.