| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCHUSTER DRISCOLL LLC3 Filed as: SCHUSTER DRISCOLL, LLC | 135 SOUTH ROAD FARMINGTON, CT 06032 | CONNECTICARE, INC. | $78K | $33K | $111K | 4.27% |
| SCHUSTER DRISCOLL LLC3 | 135 SOUTH ROAD FARMINGTON, CT 06032 | ANTHEM HEALTH PLANS OF CONNECTICUT, INC | $8K | $0 | $8K | 5.00% |
| SCHUSTER DRISCOLL LLC3 Filed as: SCHUSTER DRISCOLL, LLC | 135 SOUTH ROAD FARMINGTON, CT 06032 | ANTHEM HEALTH PLANS, INC. | $3K | $513 | $3K | 12.23% |
| PROFESSIONAL PENSIONS INC3 | 10 RESEARCH PARKWAY STE 200 WALLINGFORD, CT 06492 | ANTHEM HEALTH PLANS, INC. | -$274 | $0 | -$274 | -1.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM LIFE INSURANCE COMPANY EIN 35-0980405 ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Float revenue; Contract Administrator Service code 12 | — | $16K |
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 | 389 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 389 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CONNECTICARE, INC. | 404 | $2.6M |
| Dental | ANTHEM HEALTH PLANS OF CONNECTICUT, INC | 256 | $153K |
| Vision | ANTHEM HEALTH PLANS, INC. | 365 | $25K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 389 | $88K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 389 | $88K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 389 | $88K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 389 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 404 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.