| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT BUILDERS & ASSOCIATES INC.3 | 7777 WASHINGTON VILLAGE DR. DAYTON, OH 454593976 | PRINCIPAL LIFE INSURANCE COMPANY | $28K | — | $28K | 10.35% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCESS REINSURANCE UNDERWRITERS EIN 73-0714500 NONE | Insurance services; Claims processing Service code 12 | — | $160K |
| EMPLOYEE BENEFIT MANAGEMENT CORP EIN 31-0747539 NONE | Contract Administrator Service code 13 | — | $75K |
| BENEFIT BUILDERS & ASSOCIATES INC. EIN 31-0797193 NONE | Insurance agents and brokers Service code 22 | — | $35K |
| MULTIPLAN INC. EIN 13-3068979 NONE | Insurance services Service code 23 | — | $16K |
| OPTUM HEALTH MTP-UHC EIN 85-7304079 NONE | Other services; Claims processing; Insurance services Service code 12 | — | $14K |
| MAGELLAN HEALTHCARE EIN 46-3708039 NONE | Claims processing Service code 12 | — | $12K |
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 | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 356 | $326K |
| Vision(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 356 | $326K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 356 | $326K |
| Short-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 356 | $326K |
| Long-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 356 | $326K |
| Stop-loss / reinsurancereinsurance | NATIONAL HEALTH INSURANCE COMPANY | 141 | $160K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 356 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 356 | — |
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.