| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE CROSS BLUE SHIELD | 2301 MAIN STREET KANSAS CITY, MO 64108 | BLUE CROSS BLUE SHIELD (STOP LOSS ONLY) | — | $545K | $545K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KC EIN 43-1257251 PROVIDER NET | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $1.7M |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 CONTRACT ADMIN | Accounting (including auditing); Direct payment from the plan; Contract Administrator Service code 10 | — | $720K |
| ARNOLD, NEWBOLD, WINTER & JACKSON EIN 43-1174269 LEGAL | Legal; Direct payment from the plan Service code 29 | — | $224K |
| LDI INTERGRATED PHARMACY SERVICES EIN 43-0912223 PRESCRIPTION SERVICES | Claims processing; Direct payment from the plan Service code 12 | — | $121K |
| E PLAN LLC CLAIMS NEGOTIATER | Consulting (general); Other services Service code 16 | 22601 N 19TH AVE #240 PHOENIX, AZ 85027 | $121K |
| BARROW, HANLEY, MEWHINNEY, STRAUSS EIN 75-2403190 INVESTMENT MGMT | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $91K |
| COMMERCE TRUST EIN 48-0962626 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | — | $85K |
| THE UNION LABOR LIFE INSURANCE COMP EIN 13-1423090 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | — | $69K |
| PREFERRED HEALTH PROFESSIONALS EIN 43-1392960 PROVIDER NET | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $61K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 ACTUARIAL SERVICES | Direct payment from the plan; Consulting fees; Actuarial; Consulting (general) Service code 11 | — | $59K |
| FIDICIARY CONSULTANTS EIN 43-1489435 INVESTMENT CONSULTING | Investment advisory (plan); Direct payment from the plan; Consulting fees Service code 27 | — | $47K |
| CUNEO, LAWSON, SHAY, & STALEY CPAS EIN 44-0642126 AUDITORS | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $45K |
| LEES PRINTING EIN 48-0924320 PRINTERS | Other services; Direct payment from the plan Service code 49 | — | $23K |
| TRADE SOLUTIONS EIN 59-3821105 PRINTING/STORAGE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| HUBER & ASSOCIATES EIN 43-1516109 SOFTWARE SUPPORT | Direct payment from the plan; Other services Service code 49 | — | $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 | 4,406 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,630 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 6,036 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD (STOP LOSS ONLY) | 4,479 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,479 | — |
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.