| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CANYON RE, LLC3 | 1400 BUFORD HWY, SUITE A-3 BUFORD, GA 30518 | NATIONWIDE | $19K | — | $19K | 3.50% |
| VISION SERVICE PLAN3 | P.O. BOX 997100 SACRAMENTO, CA 95899 | VISION SERVICE PLAN | — | $23K | $23K | 16.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT PLAN ADMINISTRATORS EIN 54-1419753 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $704K |
| HAGBERG & ASSOCIATES, P.C. EIN 01-0598991 NONE | Legal; Direct payment from the plan Service code 29 | — | $92K |
| P KEENAN EIN 35-0911491 ADMINISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $86K |
| M EGENER EIN 35-0911491 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| P HUFF EIN 35-0911491 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $70K |
| MORGAN STANLEY / GRAYSTONE EIN 36-3145972 NONE | Named fiduciary; Investment management fees paid directly by plan; Direct payment from the plan; Investment advisory (plan); Securities brokerage Service code 27 | — | $56K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $56K |
| GRAND ROUNDS NONE | Consulting (general); Direct payment from the plan Service code 16 | 1 CALIFORNIA STREET, STE. 2300 SAN FRANCISCO, CA 94111 | $43K |
| SAGE ADVISORY SERVICES LTD CO EIN 74-2798841 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $40K |
| J SWIDER EIN 35-0911491 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| PAYLOCITY EIN 36-4227403 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $34K |
| D HIGBY EIN 35-0911491 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| FIRST MIDWEST BANK EIN 36-1495255 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $16K |
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 | 890 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 509 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,399 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,438 | $143K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 966 | $56K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE | 996 | $548K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 966 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,438 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.