| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS - KELLY LAGROW | 975 KELLY HOHNSON DR. #100 LAS VEGAS, NV 89119 | NEVADA DENTAL BENEFITS, LTD. | $19K | $0 | $19K | 0.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON BCBS OF NEW JERSEY EIN 22-0999690 CONTRACT ADMINISTRATOR | Direct payment from the plan; Insurance agents and brokers; Claims processing Service code 12 | — | $185.9M |
| OPTUMRX INC. EIN 33-0441200 NONE | Float revenue; Other fees; Claims processing; Direct payment from the plan Service code 12 | — | $169.6M |
| HEALTH CARE SERVICES CORP EIN 36-1236610 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $126.0M |
| WELLDYNERX EIN 84-1515837 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $81.1M |
| TUFTS EIN 04-2674079 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $50.7M |
| USC CARE FINANCE EIN 95-4540991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $20.3M |
| PREMISE HEALTH EMPLOYER SOLUTIONS EIN 23-3057155 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $20.2M |
| DELTA DENTAL PLAN OF ILLINOIS EIN 36-2612058 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $17.1M |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $17.1M |
| MOUNT SINAI HOSPITAL EIN 13-1624096 NONE | Direct payment from the plan; Other services Service code 49 | — | $4.7M |
| PHC OF NEVADA, INC EIN 04-3290453 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $4.4M |
| COMPREHENSIVE CANCER CENTERS OF NEV EIN 88-0350180 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $4.0M |
| ARC WEST COAST EXCESS SURPLUS. EIN 37-1457877 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $3.6M |
| DAVIS VISION INC EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $3.2M |
| CLINICAL PATHOLOGY LABORATORIES EIN 74-2554159 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.9M |
| MODERN ASSISTANCE PROGRAMS EIN 04-3014253 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $2.9M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.3M |
| BRIAN K IRIYE (HIGH RISK PREG CTR) EIN 88-0479581 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.6M |
| ZELIS CLAIMS INTEGRITY, INC. EIN 84-2694744 NONE | Other services; Direct payment from the plan Service code 49 | — | $1.4M |
| MARQUARDT PRINTING CO EIN 36-3050796 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.3M |
| PORCARO, STOLAREK, METE PARTNERS LL EIN 47-2221667 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $1.2M |
| STRUCTURED COMMUNICATION SYS, INC. EIN 93-1099245 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $1.0M |
| VITECH SYSTEMS GROUP INC EIN 13-3785492 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $928K |
| TRIANZ CONSULTING & TECH SVCS, INC EIN 85-0770629 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $801K |
| MICHAEL, DOLORES EIN 23-7385560 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $782K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Other services; Direct payment from the plan Service code 49 | — | $781K |
| MEDICAL IMAGING SPECIALISTS EIN 34-2001402 NONE | Other services; Direct payment from the plan Service code 49 | — | $746K |
| MACNELL ACCOUNTING & CONSULTING LLC EIN 30-0510353 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $723K |
| PENFIELD MEDICAL COST CONTAINMENT NONE | Direct payment from the plan; Other services Service code 49 | — | $695K |
| DIVIHN INTEGRATION INC EIN 04-3686496 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $672K |
| GOVINCORP INC. EIN 83-2016517 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $659K |
| JDK TECHNOLOGIES, INC EIN 36-4403499 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $646K |
| CVS/CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $613K |
| JAN-PRO OF SOUTHERN NEVADA EIN 73-1628407 NONE | Direct payment from the plan; Other services Service code 49 | — | $533K |
| SEYFARTH SHAW, LLP EIN 36-2152202 NONE | Legal; Direct payment from the plan Service code 29 | — | $530K |
| PDQ PRINTING OF LAS VEGAS, INC. EIN 20-3649287 NONE | Direct payment from the plan; Other services Service code 49 | — | $505K |
| WALKER, MATTHEW EIN 23-7385560 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $488K |
| INTERCONTINENTAL REAL ESTATE CORP EIN 04-2895544 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $446K |
| NOCTURNA SLEEP CENTER, LLC EIN 43-2062521 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $436K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $435K |
| PRESENCE HEALTHCARE SERVICES EIN 36-3330928 NONE | Direct payment from the plan; Other services Service code 49 | — | $419K |
| MPHASIS CORP EIN 95-4759720 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $413K |
| VIDUEIRA, JESUS EIN 23-7385560 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $393K |
| OPTUMINSIGHT EIN 41-1858498 NONE | Other services; Direct payment from the plan Service code 49 | — | $378K |
| EXECUTIVE STAFFING SOLUTIONS, LTD EIN 31-1735319 NONE | Other services; Direct payment from the plan Service code 49 | — | $366K |
| IT AVALON EIN 35-2451399 NONE | Direct payment from the plan; Other services Service code 49 | — | $366K |
| RILEY, ANGELA EIN 23-7385560 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $361K |
| VANDEVUSSE, JOEL EIN 23-7385560 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $343K |
| ALLIED UNIVERSAL SECURITY SERVICES EIN 33-0973846 NONE | Direct payment from the plan; Other services Service code 49 | — | $331K |
| LASALLE NETWORK EIN 36-4319267 NONE | Other services; Direct payment from the plan Service code 49 | — | $329K |
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 | 110,796 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,182 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 112,978 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(5 contracts, 4 carriers) | NEVADA DENTAL BENEFITS, LTD. | 125,116 | $29.9M |
| Vision(3 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 124,981 | $5.4M |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 102,021 | $5.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125,116 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.