| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 75 REMITTANCE DRIVE, #1446 CHICAGO, IL 60675 | HARTFORD LIFE AND ACCIDENT | — | $690 | $690 | 0.40% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | HARTFORD LIFE AND ACCIDENT | — | $653 | $653 | 0.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AON HEWITT EIN 22-2232264 NONE | Actuarial; Insurance agents and brokers Service code 11 | — | $65K |
| CAPFINANCIAL EIN 26-0058143 NONE | Other fees; Trustee (directed) Service code 25 | — | $44K |
| CLARK SCHAEFER HACKETT EIN 31-0800053 NONE | Accounting (including auditing) Service code 10 | — | $16K |
| ADP, LLC NONE | Claims processing; Contract Administrator Service code 12 | PO BOX 842876 BOSTON, MA 022842875 | $10K |
| MATRIX TRUST COMPANY NONE | Trustee (directed); Other fees Service code 25 | 717 17TH STREET, SUITE 1300 DENVER, CO 80202 | $5K |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 160 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 20 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 303 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL MUTUAL | 224 | $5.5M |
| Dental(2 contracts) | DELTA DENTAL OF OHIO | 449 | $303K |
| Vision | VISION SERVICE PLAN | 246 | $86K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 182 | $174K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 182 | $174K |
| Prescription drug | MEDICAL MUTUAL | 224 | $5.5M |
| Other | HARTFORD LIFE AND ACCIDENT | 182 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 449 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.