| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (IL) INC | 500 WEST MADISON STE 2760 CHICAGP, IL 60661 | DELTA DENTAL OF MISSOURI | $76K | — | $76K | 4.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHY ALLIANCE LIFE INSURANCE CO EIN 86-0257201 CONTRACT ADMIN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Participant communication; Other services; Float revenue; Claims processing Service code 12 | 120 MONUMENT CIRCLE INDIANAPOLIS, IN 46204 | $843K |
| NFP CORPORATE SERVICES (IL) INC EIN 13-4090309 CONSULTANT | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | 500 WEST MADISON ST STE 2760 CHICAGO, IL 60661 | $50K |
| WAGEWORKS INC EIN 94-3351864 ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | 1100 PARK PLACE 4TH FLOOR SAN MATEO, CA 94403 | $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 | 2,015 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 77 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,092 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MISSOURI | 4,337 | $1.5M |
| Stop-loss / reinsurancereinsurance | HEALTHY ALLIANCE LIFE INSURANCE COMPANY | 4,723 | $724K |
| Other | DELTA DENTAL OF MISSOURI | 4,337 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,723 | — |
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."
No prospect flags tripped on this filing.