| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STAPLETON GROUP, INC.3 Filed as: STAPLETON GROUP INC | PO BOX 1118 SYLVANIA, OH 435605118 | PRINCIPAL LIFE INSURANCE COMPANY | $262K | $58K | $319K | 17.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLIED BENEFIT SYSTEMS, LLC EIN 36-3086057 TPA | Contract Administrator Service code 13 | — | $233K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 PPO | Other services; Other fees; Claims processing Service code 12 | — | $139K |
| STAPLETON INSURANCE & RISK MGT EIN 31-1346000 BROKER | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $77K |
| TELADOC EIN 35-2351217 TELEMEDICINE | Other fees; Insurance services Service code 23 | — | $12K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 TPA | Other services Service code 49 | — | $11K |
| CURALINC HEALTH CARE EIN 33-1206383 | Other services; Other fees Service code 49 | — | $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 | 856 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 863 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $1.9M |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $1.9M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $1.9M |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $1.9M |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $1.9M |
| Stop-loss / reinsurancereinsurance(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $2.8M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 1,964 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,964 | — |
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.