| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE, SUITE 200 MEMPHIS, TN 38112 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $22K | $22K | 0.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHIEST YOU EIN 30-0947669 TELEMEDICINE PLAN | Other services Service code 49 | 5350 E HIGH ST, SUITE 350 PHOENIX, AZ 85054 | $316K |
| LIPSCOMB & PITTS EIN 62-0533337 INSURANCE AGENT | Insurance agents and brokers Service code 22 | 2670 UNION AVE EXT, SUITE 100 MEMPHIS, TN 38112 | $47K |
| CIGNA BEHAVIORAL HEALTH INC EIN 41-1648670 CONTRACT ADMIN | Contract Administrator; Direct payment from the plan; Other services; Participant communication; Claims processing; Float revenue Service code 12 | 11095 VIKING DRIVE, SUITE 350 EDEN PRAIRIE, MN 55344 | $29K |
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 | 5,167 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,569 | $5.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,569 | $5.8M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,569 | $5.8M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,315 | $1.5M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,660 | $678K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,434 | $836K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,569 | $5.8M |
| Other(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,569 | $5.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,315 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.