| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CARRION, LAFFITTE & CASELLAS, INC.3 | PO BOX 195556 SAN JUAN, PR 009195556 | MCS LIFE INSURANCE COMPANY | $30K | — | $30K | 4.87% |
| CARRION, LAFFITTE & CASELLAS, INC.3 | PO BOX 195556 SAN JUAN, PR 009195556 | DELTA DENTAL OF PUERTO RICO, INC. | $1K | — | $1K | 5.00% |
| INNOVA INSURANCE3 Filed as: INNOVA INSURANCE SERVICES INC | PMB 234 AVE ESMERALDA 405 STE2 GUAYNABO, PR 009694427 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 18.05% |
No Schedule C service providers reported on this filing.
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 | 193 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MCS LIFE INSURANCE COMPANY | 123 | $626K |
| Dental | DELTA DENTAL OF PUERTO RICO, INC. | 122 | $29K |
| Vision | MCS LIFE INSURANCE COMPANY | 123 | $626K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 193 | $13K |
| Prescription drug | MCS LIFE INSURANCE COMPANY | 123 | $626K |
| Other | HARTFORD LIFE AND ACCIDENT | 193 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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 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.