| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CANYON RE, LLC3 | 1400 BUFORD HWY, SUITE A-3 BUFORD, GA 30518 | GERBER LIFE INSURANCE COMPANY | $45K | — | $45K | 5.00% |
| VISION SERVICE PLAN3 | P.O. BOX 997100 SACRAMENTO, CA 95899 | VISION SERVICE PLAN | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE EIN 11-3410766 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $444K |
| M EGENER EIN 35-0911491 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| INCLUDED HEALTH INC. EIN 45-3580052 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $79K |
| P KEENAN EIN 35-0911491 ADMINISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $71K |
| M SCZURKO EIN 35-0911491 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| MORGAN STANLEY / GRAYSTONE EIN 36-3145972 NONE | Named fiduciary; Investment management fees paid directly by plan; Securities brokerage; Investment advisory (plan); Direct payment from the plan; Custodial (securities) Service code 19 | — | $59K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $56K |
| HAGBERG & ASSOCIATES, P.C. EIN 01-0598991 NONE | Legal; Direct payment from the plan Service code 29 | — | $48K |
| SAGE ADVISORY SERVICES LTD CO EIN 74-2798841 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $44K |
| P HUFF EIN 35-0911491 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $44K |
| J SWIDER EIN 35-0911491 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $37K |
| FIRST MIDWEST BANK EIN 36-6067064 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $13K |
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 | 842 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 538 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,380 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 659 | $1.9M |
| Vision | VISION SERVICE PLAN | 1,344 | $159K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 910 | $53K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 659 | $1.9M |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 956 | $898K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 910 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,344 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.