| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT INSURANCE SERVICES | 204 CATOCTIN CIR. SE LEESBURG, VA 20175 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $98K | — | $98K | 16.62% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOCIATES INS. GROUP INC. | 1 KELLY WAY SPARKS GLENCOE, MD 21152 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $42K | $42K | 7.16% |
| SUMMIT INS SERVICES LLC3 Filed as: SUMMIT INS. SERVICES LLC | 300 N MAIN STREET MOOREFIELD, WV 26836 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 7.23% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT INSURANCE SERVICES | 300 NORTH MAIN ST. MOOREFIELD, WV 26836 | AETNA LIFE INSURANCE COMPANY | $9K | — | $9K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS. CO. EIN 59-1031071 CONTRACT ADMINISTRATOR | Other services; Claims processing; Participant communication; Non-monetary compensation; Contract Administrator; Direct payment from the plan Service code 12 | — | $212K |
| SUN LIFE ASSURANCE CO. OF CANADA EIN 38-1082080 CLAIMS PROCESSING | Claims processing Service code 12 | — | $6K |
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 | 229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 230 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 12 | $88K |
| Vision | AETNA LIFE INSURANCE COMPANY | 12 | $88K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 229 | $115K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 229 | $115K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 229 | $115K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 328 | $591K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 229 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 328 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.