| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEY BENEFIT ADMINISTRATORS, INC5 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | ZURICH AMERICAN INSURANCE COMPANY | $3K | — | $3K | 17.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN HEALTH DATA INSTITUTE EIN 35-2048379 NONE | Contract Administrator Service code 13 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $41K |
| KEY BENEFIT ADMINISTRATORS, INC. EIN 35-0145036 NONE | Contract Administrator Service code 13 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $37K |
| ENCORE EIN 35-2067373 NONE | Contract Administrator Service code 13 | 7224 SOLUTION CENTER CHICAGO, IL 60677 | $12K |
| MEDCOST EIN 56-1999192 NONE | Contract Administrator Service code 13 | P.O. BOX 25347 WINSTON SALEM, NC 27114 | $12K |
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 | 355 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 359 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GERBER LIFE INSURANCE | 355 | $508K |
| Vision | FIDELITY SECURITY LIFE INSURANCE | 297 | $39K |
| Life insurance | COMPANION LIFE INSURANCE | 453 | $423K |
| Long-term disability | COMPANION LIFE INSURANCE | 453 | $423K |
| Other(3 contracts, 3 carriers) | COMPANION LIFE INSURANCE | 453 | $513K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 453 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.