| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYEE BENEFIT STRATEGIES GROUP3 | 5360 LEGACY DR SUITE 110 PLANO, TX 75024 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $89K | — | $89K | 3.27% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES INC | 3001 WESTOWN PKWY WEST DES MOINE, IA 50266 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $19K | — | $19K | 0.68% |
| EMPLOYEE BENEFIT STRATEGIES GROUP3 | 5360 LEGACY DR SUITE 110 PLANO, TX 75024 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $26K | — | $26K | 3.33% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES INC | 3001 WESTOWN PKWY DES MOINE, IA 50266 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $5K | — | $5K | 0.62% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 165 BROADWAY SUITE 3201 NEW YORK, NY 10006 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH | $4K | — | $4K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 SERVICE PROVIDER | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | — | $4.2M |
| LIBERTY LIFE ASSURANCE CO OF BOSTON EIN 04-6076039 SERVICE PROVIDER | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services Service code 12 | — | $498K |
| EMPLOYEE BENEFIT STRATEGIES GROUP EIN 31-1440175 CONTRACT ADMINISTRATOR | Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 5360 LEGACY DR BLDG 4 PLANO, TX 75024 | $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 | 7,130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 7,130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA INTERNATIONAL | 54 | $161K |
| Dental | AETNA INTERNATIONAL | 54 | $161K |
| Vision | AETNA INTERNATIONAL | 54 | $161K |
| Life insurance(2 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,130 | $2.9M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 6,227 | $767K |
| Prescription drug | AETNA INTERNATIONAL | 54 | $161K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 6,341 | $2.5M |
| Other(4 contracts, 4 carriers) | AETNA INTERNATIONAL | 13,000 | $201K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,000 | — |
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."
No prospect flags tripped on this filing.