| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STAFFORD FINANCIAL CONSULTING GROUP3 | 2501 W. BELTLINE HWY STE 201 MADISON, WI 53713 | PRINCIPAL LIFE INSURANCE COMPANY | $18K | — | $18K | 6.76% |
| BENJAMIN MCCANN & ASSOCIATES LLC3 | 705 N. SHORE BLVD FRANKLIN, IN 46131 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | — | $7K | 2.54% |
| MEDLINK INC3 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 0.76% |
| STAFFORD FINANCIAL CONSULTING GROUP3 | 2501 W. BELTLINE HWY STE 201 MADISON, WI 53713 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 8.26% |
| BENJAMIN MCCANN & ASSOCIATES LLC3 | 705 N. SHORE BLVD FRANKLIN, IN 46131 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 1.75% |
| MEDLINK INC3 Filed as: MEDLINK, INC | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | PRINCIPAL LIFE INSURANCE COMPANY | $521 | — | $521 | 0.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX, INC EIN 33-0441200 PHARMACY BENEFIT MGMT | Float revenue; Claims processing; Other fees; Direct payment from the plan Service code 12 | — | $718K |
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $170K |
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 | 275 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 276 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 365 | $98K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 365 | $98K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 491 | $260K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 491 | $260K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 491 | $260K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 491 | — |
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.