| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 6TH AVENUE SUITE 3 PITTSBURGH, PA 15222 | STANDARD INSURANCE COMPANY | $183K | $56K | $239K | 16.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LIMITED | 1065 AVE OF THE AMERICAS NEW YORK, NY 10018 | STANDARD INSURANCE COMPANY | $12K | $0 | $12K | 0.83% |
| THE ULTIMATE SOFTWARE GROUP3 | PO BOX 930953 ATLANTA, GA 31193 | STANDARD INSURANCE COMPANY | $0 | $2K | $2K | 0.16% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 6TH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | KAISER FOUNDATION HEALTH PLAN INC | $21K | $0 | $21K | 3.48% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 6TH AVE FL 30 PITTSBURGH, PA 15222 | KAISER FOUNDATION HEALTH PLAN INC | $18K | $0 | $18K | 3.61% |
| BUETTNER INSURANCE AGENCY, INC.3 | 5200 WARNER AVE STE 105 HUNTINGTON BEACH, CA 92649 | KAISER FOUNDATION HEALTH PLAN INC | $4K | $0 | $4K | 0.71% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 6TH AVE FL 30 PITTSBURGH, PA 15222 | VISION SERVICE PLAN | $4K | $0 | $4K | 2.05% |
| ASSUREDPARTNERS3 Filed as: HDH GROUP INC | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $4K | $0 | $4K | 4.00% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS-PLEASE SEE ATTACHED | — | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 24.89% |
No Schedule C service providers reported on this filing.
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 | 4,434 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,462 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 130 | $1.2M |
| Vision | VISION SERVICE PLAN | 2,155 | $181K |
| Life insurance | STANDARD INSURANCE COMPANY | 4,434 | $1.4M |
| Short-term disability | STANDARD INSURANCE COMPANY | 4,434 | $1.4M |
| Long-term disability | STANDARD INSURANCE COMPANY | 4,434 | $1.4M |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 68 | $592K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 4,434 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,434 | — |
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.