| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | PO BOX 632886 CINCINNATI, OH 452632886 | MUTUAL OF OMAHA INSURANCE COMPANY | $37K | $9K | $45K | 12.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ADMINISTRATIVE SERVICE PROFESSIONAL EIN 20-4056745 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Direct payment from the plan Service code 12 | — | $3.0M |
| HORIZON HEALTHCARE EIN 22-0999690 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.9M |
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $851K |
| HEALTHCARE STRATEGIES INC EIN 58-1874471 NONE | Other fees; Consulting fees; Direct payment from the plan Service code 50 | — | $581K |
| TOTAL CARE NETWORK INC EIN 23-2740082 NONE | Direct payment from the plan; Consulting fees; Contract Administrator Service code 13 | — | $314K |
| PROVIDENCE FINANCIAL GROUP INC DBA EIN 46-1682881 NONE | Other services; Direct payment from the plan Service code 49 | — | $251K |
| S.E.I. INVESTMENTS EIN 23-1707341 NONE | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $180K |
| AON CONSULTING EIN 22-2232264 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $90K |
| STEVENS & LEE EIN 23-1886296 NONE | Legal; Direct payment from the plan Service code 29 | — | $85K |
| ZELIS CLAIMS INTEGRITY INC EIN 86-1040704 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $45K |
| RED CARD SYSTEMS LLC EIN 20-5388701 NONE | Other services; Claims processing; Direct payment from the plan Service code 12 | — | $44K |
| CRYSTAL CLEAR RX EIN 27-3009945 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $42K |
| MARKOWITZ & RICHMAN EIN 23-2111581 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| BOND BEEBE EIN 52-1044197 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $25K |
| LOUIS P. MATTUCCI & ASSOCIATES EIN 23-2903453 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $21K |
| MORGAN, LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $21K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Recordkeeping fees; Direct payment from the plan Service code 50 | — | $18K |
| KUTZTOWN PUBLISHING CO INC EIN 23-0781070 NONE | Copying and duplicating; Other services; Direct payment from the plan Service code 36 | — | $17K |
| CVS/CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $14K |
| WILLIAM J. EINHORN EIN 23-1392600 PLAN TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $12K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $12K |
| NATIONAL VISION ADMINISTRATORS, LLC EIN 74-3033381 NONE | Claims processing; Direct payment from the plan; Account maintenance fees Service code 12 | — | $10K |
| FREEDMAN & LORRY P.C. EIN 23-2158375 NONE | Legal; Direct payment from the plan Service code 29 | — | $5K |
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 | 9,048 | 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) | 9,048 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MUTUAL OF OMAHA INSURANCE COMPANY | 7,157 | $366K |
| Other | MUTUAL OF OMAHA INSURANCE COMPANY | 7,157 | $366K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,157 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.