| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WDK BENEFITS, LLC3 | 20 BATTERSON PARK ROAD FARMINGTON, CT 06032 | KAISER FOUNDATION HEALTH PLAN, INC. | $80K | — | $80K | 3.68% |
| JOHN KAUFMAN3 | 20 BATTERSON PARK ROAD FARMINGTON, CT 06032 | KAISER FOUNDATION HEALTH PLAN, INC. | $24K | — | $24K | 1.10% |
| WDK BENEFITS, LLC3 | 20 BATTERSON PARK ROAD FARMINGTON, CT 06032 | ANTHEM LIFE INSURANCE CO. | $58K | — | $58K | 5.38% |
| JOHN KAUFMAN3 | 20 BATTERSON PARK ROAD FARMINTON, CT 06032 | ANTHEM LIFE INSURANCE CO. | $7K | — | $7K | 0.61% |
| JOHN KAUFMAN3 | 20 BATTERSON PARK ROAD FARMINGTON, CT 06032 | AETNA LIFE INSURANCE COMPANY | $3K | — | $3K | 2.72% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PAYFLEX EIN 91-1774434 | Contract Administrator; Claims processing Service code 12 | — | $21K |
| GROUP DYNAMIC EIN 01-0453342 | Claims processing; Contract Administrator Service code 12 | — | $2K |
| WDK BENEFITS, LLC EIN 87-3607979 | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $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 | 1,876 | 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) | 1,876 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 225 | $2.2M |
| Dental(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE CO. | 1,761 | $1.2M |
| Vision | ANTHEM LIFE INSURANCE CO. | 1,761 | $1.1M |
| Life insurance | ANTHEM LIFE INSURANCE CO. | 1,761 | $1.1M |
| Short-term disability | ANTHEM LIFE INSURANCE CO. | 1,761 | $1.1M |
| Long-term disability | ANTHEM LIFE INSURANCE CO. | 1,761 | $1.1M |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS AND BLUE SHIELD | 1,876 | $2.0M |
| Other | ANTHEM LIFE INSURANCE CO. | 1,761 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,876 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.