| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COTTINGHAM & BUTLER Filed as: COTTINGHAM & BUTLER INSURANCE | 151 W. 8TH STREET DUBUQUE, IA 52001 | SUN LIFE ASSURANCE COMPANY | $129K | — | $129K | 12.91% |
| CAIRNSTONE FINANCIAL LLC3 | P.O, BOX 50530 INDIANAPOLIS, IN 46250 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNIFIED GROUP SERVICES EIN 35-1973675 THIRD PARTY ADMIN. | Claims processing Service code 12 | 3131 E 67TH ST. ANDERSON, IN 46064 | $166K |
| CAIRNSTONE FINANCIAL EIN 20-2819811 BROKER | Insurance brokerage commissions and fees Service code 53 | 8320 ALLISON POINTE BLVD. INDIANAPOLIS, IN 46250 | $112K |
| EXPRESS SCRIPT EIN 43-1420563 PHARMACY BENEFIT MGT. | Other fees; Direct payment from the plan; Claims processing Service code 12 | ONE EXPRESS WAY ST. LOUIS, MO 63121 | $29K |
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 | 657 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 657 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUN LIFE ASSURANCE COMPANY | 657 | $1.0M |
| Vision | SUN LIFE ASSURANCE COMPANY | 657 | $1.0M |
| Life insurance | SUN LIFE ASSURANCE COMPANY | 657 | $1.0M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY | 657 | $1.0M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY | 657 | $1.0M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY | 1,058 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,058 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.