| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 8320 ALLISON POINTE BLVD. INDIANAPOLIS, IN 46250 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $53K | $11K | $64K | 19.70% |
| CIGNA3 | 1601 CHESTNUT STREET PHILADELPHIA, PA 19192 | CIGNA | — | — | $0 | 0.00% |
| CAIRNSTONE FINANCIAL LLC3 | P.O, BOX 50530 INDIANAPOLIS, IN 46250 | UNITED HEALTHCARE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGELLAN RX MANAGEMENT LLC EIN 46-3708039 PHARMACY BENEFIT MGT. | Direct payment from the plan; Other fees; Claims processing Service code 12 | 15950 N. 76TH STREET 200 SCOTTSDALE, AZ 85260 | $600K |
| UNIFIED GROUP SERVICES EIN 35-1973675 THIRD PARTY ADMIN. | Claims processing Service code 12 | 3131 E 67TH ST. ANDERSON, IN 46064 | $145K |
| CAIRNSTONE FINANCIAL EIN 20-2819811 BROKER | Insurance brokerage commissions and fees Service code 53 | 8320 ALLISON POINTE BLVD. INDIANAPOLIS, IN 46250 | $100K |
| EXPRESS SCRIPT EIN 43-1420563 PHARMACY BENEFIT MGT. | Claims processing; Direct payment from the plan; Other fees Service code 12 | ONE EXPRESS WAY ST. LOUIS, MO 63121 | $9K |
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 | 591 | 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) | 591 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 591 | $327K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 591 | $327K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 591 | $327K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 591 | $327K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 591 | $327K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 834 | $373K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 834 | — |
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.