| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTHSMART BENEFIT SOLUTIONS5 Filed as: HEALTHSMART | P. O. BOX 842088 DALLAS, TX 75284 | COMPANION LIFE INSURANCE COMPANY | — | $30K | $30K | 13.02% |
| EMPLOYEE BENEFIT DESIGN LLC3 Filed as: EMPLOYEE BENEFIT DESIGN | 1125 E.LAKEWOOD SPRINGFIELD, MO 65810 | COMPANION LIFE INSURANCE COMPANY | — | $13K | $13K | 5.51% |
| EMPLOYEE BENEFIT DESIGN LLC3 Filed as: EMPLOYEE BENEFIT DESIGN | 1125 E. LAKEWOOD SPRINGFIELD, MO 65810 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 20.00% |
| UNITED BENEFITS ADVISORS INC3 Filed as: UNITED BENEFITS ADVISORS | 10 WYNSHIRE LANE RED LION, PA 17356 | SUN LIFE ASSURANCE COMPANY OF CANADA | $74 | — | $74 | 0.23% |
| EMPLOYEE BENEFIT DESIGN LLC3 Filed as: EMPLOYEE BENEFIT DESIGN | 1125 E. LAKEWOOD SPRINGFIELD, MO 65810 | SUN LIFE ASSURANCE COMPANY OF CANADA | $986 | — | $986 | 15.00% |
| UNITED BENEFITS ADVISORS INC3 Filed as: UNITED BENEFITS ADVISORS | 190 WYNSHIRE LANE RED LION, PA 17356 | SUN LIFE ASSURANCE COMPANY OF CANADA | $74 | — | $74 | 1.13% |
| EMPLOYEE BENEFIT DESIGN LLC3 Filed as: EMPLOYEE BENEFIT DESIGN | 1125 E. LAKEWOOD STREET SPRINGFIELD, MO 65810 | MET LIFE | $4K | $4K | $8K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSMART BENEFIT SOLUTIONS, INC. EIN 36-4099199 NONE | Contract Administrator Service code 13 | 3121 QUAIL SPRINGS PARKWAY OKLAHOMA CITY, OK 73123 | $17K |
| HEALTHSMART BENEFT SOLUTIONS, INC. | Contract Administrator Service code 13 | — | $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 | 105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | MET LIFE | 78 | $0 |
| Vision | MET LIFE | 78 | $0 |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 121 | $32K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 68 | $7K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 105 | $228K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.