| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN BLASCH | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | — | $2K | 14.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERIHEALTH ADMIN, INC EIN 23-2521508 NONE | Contract Administrator; Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $3.9M |
| EXPRESS SCRIPTS, INC EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.7M |
| CHARTWELL INVESTMENT PARTNERS, LLC EIN 36-4776242 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $704K |
| MENTAL HEALTH CONSULTANTS INC. EIN 25-2508393 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $361K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Direct payment from the plan; Named fiduciary; Participant communication; Other services; Claims processing; Non-monetary compensation; Contract Administrator; Float revenue Service code 12 | — | $269K |
| LEVEL CARE HEALTH CONSORTIUM EIN 83-2819398 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $246K |
| FOUNDRY PARTNERS EIN 46-1184506 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $203K |
| LORD ABBETT & CO. LLC EIN 13-5620131 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $167K |
| PROFLEX ADMINISTRATORS LLC EIN 45-3261121 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $164K |
| AMUNDI ASSET MANAGEMENT US, INC EIN 13-1961193 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $152K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432390 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $130K |
| SUSANIN WIDMAN & BRENNAN PC EIN 23-2265950 NONE | Legal; Direct payment from the plan Service code 29 | — | $122K |
| MICHAEL WAGNER EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $104K |
| IAN RUEGG EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| THE MCKEOGH COMPANY EIN 23-3003375 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $100K |
| JOSEPH OBUCHOWICZ EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| PNC CAPITAL ADVISORS, LLC EIN 27-0640560 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $89K |
| MARY FITZPATRICK EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| BEN KIESER EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| KROLL HEINEMEN PTASIEWICZ & PARSONS EIN 76-0760981 NONE | Legal; Direct payment from the plan Service code 29 | — | $85K |
| PIOTR TONIA EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| VANCE LUND EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| VINCENT MASSIMINI EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| BENITO CAMACHO III EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| JUDY ISAACS EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| WEDGE CAPITAL MANAGEMENT LLC EIN 56-1557450 NONE | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $72K |
| RYAN SICA EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| JENNIFER MORALES EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| NOTASHA SQUIRE EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| NICOLE CAMB EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| DEBBIE KWIATEK EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| JUSTIN CHANEY EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| DAVID LETUSHKO EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| ELLA OILAM YUNG EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| JARET GRANN EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Other services; Investment management fees paid directly by plan; Shareholder servicing fees; Float revenue; Other investment fees and expenses; Investment management fees paid indirectly by plan; Custodial (securities); Investment management Service code 19 | — | $50K |
| MICHELLE JOHNSON EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $45K |
| VANIA NIEVES EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $44K |
| JAY BUHAY EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| SEAMUS R BREEN EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| KADEIDRA D HARLING EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $39K |
| ALICIA VIDRA EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $38K |
| EVELYN SOTO EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $37K |
| ARMAN RAZVI EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $36K |
| ANTONIO BOOKIN EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $34K |
| DANIELLE BYTHELL EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $34K |
| LUMA ALSHEIKHYOUSEF EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| JACOB MADRID EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| CAITLIN AVSEC EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $29K |
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 | 11,484 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,929 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 17,413 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 122 | $15K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 122 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,655 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.