| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC5 | 17475 JOVANNA DR. HOMEWOOD, IL 60430 | UNITED STATES FIRE INSURANCE CO. | $6K | $0 | $6K | 1.00% |
| FLINN FINANCIAL, INC.3 | 1150 BOYNE AVENUE BOYNE CITY, MI 49712 | SYMETRA LIFE INSURANCE COMPANY | $25K | $0 | $25K | 10.22% |
| AMWINS3 Filed as: AMWINS GROUP BENEFITS, INC. | 50 WHITECAP DR. NORTH KINGSTOWN, RI 02852 | HARTFORD LIFE AND ACCIDENT | — | $386 | $386 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC TPA | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 17475 JOVANNA DRIVE HOMEWOOD, IL 60430 | $0 |
| CIGNA NETWORK PROVIDER | Claims processing Service code 12 | TWO LIBERTY PLACE 1601 CHESTNUT STREET PHILADELPHIA, PA 19192 | $0 |
| FLINN FINANCIAL, INC. EIN 20-0504030 AGENT | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $0 |
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 | 414 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 414 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 414 | $248K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 414 | $248K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 414 | $248K |
| Stop-loss / reinsurancereinsurance | UNITED STATES FIRE INSURANCE CO. | 344 | $632K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 414 | $248K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 414 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.