| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IKON BENEFITS GROUP, INC.3 Filed as: IKON BENEFITS GROUP INC | — | TRIPLE-S SALUD, INC. | $36K | — | $36K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 41-1289245 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $17.8M |
| CIGNA HEALTH & LIFE INSURANCE EIN 59-1031071 NONE | Other services; Float revenue; Direct payment from the plan; Contract Administrator; Participant communication; Named fiduciary; Claims processing Service code 12 | — | $2.5M |
| BEST DOCTORS EIN 04-2908444 NONE | Direct payment from the plan; Other services Service code 49 | — | $652K |
| GENEX SERVICES LLC EIN 95-3327434 NONE | Direct payment from the plan; Other services Service code 49 | — | $440K |
| SSDC SERVICES CORP. EIN 38-3357459 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Investment management; Other fees; Direct payment from the plan; Other services Service code 15 | — | $114K |
| JACKSON LEWIS P.C. EIN 46-3862389 NONE | Legal; Direct payment from the plan Service code 29 | — | $96K |
| GALLAGHER DAVIS LLP NONE | Legal; Direct payment from the plan Service code 29 | 2333 S HANLEY RD BRENTWOOD, MO 63144 | $90K |
| DINSMORE & SHOHL NONE | Legal; Direct payment from the plan Service code 29 | 255 E 5TH ST STE 1900 CINCINNATI, OH 45202 | $26K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| FARUKI IRELAND NONE | Legal; Direct payment from the plan Service code 29 | 201 E. FIFTH STREET, SUITE 1420 CINCINNATI, OH 45202 | $16K |
| CITIBANK EIN 13-3124140 NONE | Account maintenance fees; Other services; Direct payment from the plan Service code 49 | — | $11K |
| CIGNA HEALTH & LIFE INSURANCE CO. | Direct payment from the plan; Contract Administrator; Claims processing; Named fiduciary; Float revenue; Non-monetary compensation; Other services; Participant communication Service code 12 | — | $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 | 24,272 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 106 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 24,378 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TRIPLE-S SALUD, INC. | 94 | $761K |
| Dental | TRIPLE-S SALUD, INC. | 94 | $719K |
| Prescription drug(2 contracts, 2 carriers) | TRIPLE-S SALUD, INC. | 94 | $761K |
| Other | TRIPLE-S SALUD, INC. | 94 | $719K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 94 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.