| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SOUTH-WEST INSURANCE AGENCY INC.3 | PO BOX 700 NORTON, VA 24273 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | $58K | $61K | 4.01% |
| SOUTHWEST INSURANCE AGENCY3 | 132 11TH STREET SW PO BOX 700 NORTON, VA 24273 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $5K | $0 | $5K | 9.17% |
| SOUTHWEST INSURANCE AGENCY3 | 132 11TH STREET SW PO BOX 700 NORTON, VA 24273 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $4K | $0 | $4K | 9.18% |
| SOUTHWEST INSURANCE AGENCY3 | 132 11TH STREET SW PO BOX 700 NORTON, VA 24273 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $617 | $0 | $617 | 8.88% |
| SOUTHWEST INSURANCE AGENCY3 | 132 11TH STREET SW PO BOX 700 NORTON, VA 24273 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $121 | $0 | $121 | 9.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA LIFE INSURANCE CO EIN 59-1031071 CLAIMS ADMINISTRATION | Non-monetary compensation; Other services; Participant communication; Claims processing; Direct payment from the plan; Contract Administrator; Float revenue; Named fiduciary Service code 12 | 900 COTTAGE GROVE ROAD, C8NAS HARTFORD, CT 061527314 | $7K |
| CIGNA | Contract Administrator; Direct payment from the plan; Other services; Participant communication; Non-monetary compensation; Claims processing; Named fiduciary; Float revenue Service code 12 | — | $0 |
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 | 145 | 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) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 145 | $1.5M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 145 | $1.5M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 145 | $1.5M |
| Life insurance | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 67 | $7K |
| Short-term disability | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 67 | $54K |
| Long-term disability | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 67 | $39K |
| Other | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | 67 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.