| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 718 RIVER RD FAIR HAVEN, NJ 07704 | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | $19K | $3K | $21K | 13.86% |
| IBSI HOLDINGS INC3 Filed as: IBSI HOLDINGS INC. | PO BOX 24337 WINSTON SALEM, NC 27114 | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | — | $26 | $26 | 0.02% |
| ENROLLEASE3 Filed as: ONEDIGITAL PREMIER SVCS | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | $11 | — | $11 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NC EIN 56-0894904 TPA MEDICAL FEES | Contract Administrator; Claims processing Service code 12 | — | $68K |
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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | 149 | $153K |
| Vision | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | 149 | $153K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | 149 | $153K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | 149 | $153K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE CO. OF AMERICA | 149 | $153K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.