| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERITAIN HEALTH3 Filed as: AETNA U.S. HEALTHCARE | 26957 NORTHWESTERN HWY, STE 140 SOUTHFIELD, MI 48034 | AETNA LIFE INSURANCE COMPANY | $75K | — | $75K | 6.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $2.3M |
| HEALTHSMART BENEFIT SOLUTIONS EIN 36-4099199 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $210K |
| HEALTH ALLIANCE MEDICAL PLANS EIN 37-1260731 CONTRACT ADMINISTRATOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $141K |
| HEALTHSMART CARE MANAGEMENT EIN 75-1857307 CONTRACT ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | — | $21K |
| HEALTHSMART PREFERRED CARE EIN 75-2508316 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $14K |
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 | 4,699 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,699 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 3,702 | $1.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 3,702 | $1.2M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 3,702 | $1.2M |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 3,702 | $1.2M |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 3,702 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,702 | — |
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.