| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTH PLANS, INC.3 | 04-2734278 1500 WEST PARK DRIVE WESTBOROUGH, MA 01581 | HEALTH PLANS, INC. | $0 | $101K | $101K | 28.65% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | — | AETNA LIFE INSURANCE CO. | $8K | $4K | $12K | 9.50% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | — | AETNA LIFE INSURANCE CO. | $0 | $868 | $868 | 0.66% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | MUTUAL OF OMAHA INSURANCE COMPANY | $4K | $2K | $6K | 11.46% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD SUITE 675 BOCA RATON, FL 33432 | COMPANION LIFE INSURANCE COMPANY | $8K | $2K | $10K | 19.26% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD SUITE 675 BOCA RATON, FL 33432 | MUTUAL OF OMAHA INSURANCE COMPANY | $5K | $1K | $7K | 29.01% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD SUITE 675 BOCA RATON, FL 33432 | MUTUAL OF OMAHA INSURANCE COMPANY | $1K | $691 | $2K | 11.71% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | COMPANION LIFE INSURANCE COMPANY | $2K | $724 | $3K | 19.56% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD SUITE 675 BOCA RATON, FL 33432 | MUTUAL OF OMAHA INSURANCE COMPANY | $1K | $390 | $2K | 17.96% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | MUTUAL OF OMAHA INSURANCE COMPANY | $596 | $181 | $777 | 19.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH, LLC PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $6K |
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 | 190 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH PLANS, INC. | 289 | $352K |
| Dental | AETNA LIFE INSURANCE CO. | 315 | $131K |
| Vision | AETNA LIFE INSURANCE CO. | 315 | $131K |
| Life insurance(3 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 89 | $67K |
| Long-term disability(2 contracts, 2 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 74 | $23K |
| Other(7 contracts, 2 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 192 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 315 | — |
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.