| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TEDRICK EMPLOYEE BENEFITS INC | P.O. BOX 983 MT. VERNON, IL 62864 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $30K | — | $30K | 9.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSCOPE BENEFITS, INC. EIN 71-0847266 | Plan Administrator Service code 14 | 27 CORPORATE HILL DR LITTLE ROCK, AR 72205 | $99K |
| TEDRICK EMPLOYEE BENEFITS, INC EIN 36-4178615 | Other insurance fees and expenses Service code 73 | 1226 BROADWAY STREET PO BOX 983 MOUNT VERNON, IL 62864 | $74K |
| HST EIN 27-1818792 | Other insurance fees and expenses Service code 73 | 3857 BIRCH ST. SUITE 586 NEWPORT BEACH, CA 92660 | $19K |
| MULTI-PLAN, INC. EIN 13-3068979 | Other insurance fees and expenses Service code 73 | 115 FIFTH AVE, 7TH FLOOR NEW YORK, NY 10003 | $8K |
| MEDWATCH EIN 16-1662117 | Other insurance fees and expenses Service code 73 | 120 INTERNATIONAL PARKEAY 220 LAKE MARY, FL 32746 | $8K |
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 | 264 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 264 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 264 | $314K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 264 | $314K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 264 | $314K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 264 | $314K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 264 | $314K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 184 | $351K |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 264 | $314K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 264 | — |
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."
No prospect flags tripped on this filing.