| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS CORNERSTONE LLC | 721 EMERSON, SUITE 500 ST LOUIS, MO 63141 | GUARDIAN INSURANCE CO | $12K | $8K | $20K | 15.22% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS CORNERSTONE LLC | 721 EMERSON, SUITE 500 ST LOUIS, MO 63141 | EYE MED | $12K | — | $12K | 18.90% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 NONE | Contract Administrator Service code 13 | — | $537K |
| BENESYS, INC EIN 38-2383171 NONE | Plan Administrator Service code 14 | — | $186K |
| OPTUM RX INC. EIN 33-0441200 PHARMACY BENEFIT MGMT | Direct payment from the plan; Claims processing; Float revenue Service code 12 | — | $76K |
| RSM US LLP EIN 42-0714325 NONE | Accounting (including auditing) Service code 10 | — | $59K |
| BURR OAK CONSULTING NONE | Consulting (general) Service code 16 | 12594 DURROW CT ST LOUIS, MO 63141 | $51K |
| BMO HARRIS BANK N.A. EIN 36-2085229 NONE | Custodial (securities) Service code 19 | — | $38K |
| CARDINAL INVESTMENT ADVISORS EIN 36-4464580 NONE | Investment advisory (plan) Service code 27 | — | $25K |
| FRED KERN EIN 43-6033487 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| JAY SCHULTEHENRICH EIN 43-6033487 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| ROBERT KINTZ EIN 43-6033487 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| MILLIMAN USA EIN 91-0675641 NONE | Actuarial Service code 11 | — | $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 | 728 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 35 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 763 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN INSURANCE CO | 774 | $131K |
| Vision | EYE MED | 1,896 | $63K |
| Life insurance | GUARDIAN INSURANCE CO | 774 | $131K |
| Other | GUARDIAN INSURANCE CO | 774 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,896 | — |
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.