| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED GROUP BROKERAGE CORP.3 Filed as: DIVERSIFIED ADMINISTRATION CORP. | 369 NORTH MAIN STREET MARLBOROUGH, CT 06447 | PAN AMERICAN LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| HP PLANNING LLC3 | 1100 SUMMER STREET, 2ND. FL. STAMFORD, CT 06905 | ANTHEM HEALTH PLANS OF CONNECTICUT (DENTAL) | $3K | — | $3K | 2.50% |
| HP PLANNING LLC3 | 1100 SUMMER STREET, 2ND. FL STAMFORD, CT 06905 | ANTHEM HEALTH PLANS, INC. (G1800) | $3K | — | $3K | 8.99% |
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 | 305 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 305 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM HEALTH PLANS OF CONNECTICUT (DENTAL) | 305 | $132K |
| Vision | ANTHEM HEALTH PLANS, INC. (G1800) | 249 | $28K |
| Stop-loss / reinsurancereinsurance | PAN AMERICAN LIFE INSURANCE COMPANY | 266 | $358K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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.