| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MED-PAY, INC.3 | P.O. BOX 10909 SPRINGFIELD, MO 658081600 | HCC LIFE INSURANCE COMPANY | $124K | — | $124K | 13.96% |
| MED-PAY, INC.3 | P.O. BOX 10909 SPRINGFIELD, MO 658081600 | AMERICAN UNITED LIFE INSURANCE COMPANY | $60K | — | $60K | 15.80% |
| MED-PAY, INC.3 | P.O. BOX 10909 SPRINGFIELD, MO 658081600 | EYE MED | $12K | — | $12K | 11.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MED-PAY, INC. EIN 43-1318969 CONTRACT ADMINISTRATOR | Insurance brokerage commissions and fees; Contract Administrator Service code 13 | — | $195K |
| WARRIOR COST MANAGEMENT LLC EIN 85-3740555 PPO NETWORK ACCESS FEES | Other fees Service code 99 | — | $163K |
| POINT C EIN 39-0819344 CASE MGMT AND BILL REV | Other fees Service code 99 | — | $88K |
| TELLUS WELLNESS, LLC EIN 83-3437157 WELL-BEING SOLUTIONS | Other fees Service code 99 | — | $87K |
| PAYD HEALTH EIN 84-2853707 SPECIALTY RX ADMIN FEES | Other fees Service code 99 | — | $86K |
| MERCY CORPORATE HEALTH & WELLNESS WELLNESS COORDINATOR | Other fees Service code 99 | 3265 S NATIONAL, SUITE 115 SPRINGFIELD, MO 65807 | $39K |
| HEALTHLINK EIN 43-1364135 PPO NETWORK ACCESS FEES | Other fees Service code 99 | — | $37K |
| OPTUM EIN 41-1591944 TRANSPLANT NETWORK FEES | Other fees Service code 99 | — | $12K |
| MERCY HEALTH SPRINGFIELD COMMUNITY EIN 43-1856028 ON-LINE DOCTOR/MEDICAL | Other fees Service code 99 | — | $10K |
| ONE AMERICA EIN 35-0145825 EMPLOYEE ASSISTANCE PROG | Other fees Service code 99 | — | $8K |
| PREFERRED HEALTH PROFESSIONALS EIN 20-1665464 PPO NETWORK ACCESS FEES | Other fees Service code 99 | — | $6K |
| LEAF HEALTH EIN 82-3606431 PRESCRIPTION ADMIN MKTING | Other fees Service code 99 | — | $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 | 1,106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYE MED | 797 | $109K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,544 | $381K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,544 | $381K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,544 | $381K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,111 | $887K |
| Other | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,544 | $381K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,544 | — |
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.