| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SURVIVOR OUTREACH SERVICES5 Filed as: SURVIVOR OUTREACH SERVICES LLC | 6800 BISHOP ROAD SUITE 220 PLANO, TX 750244275 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $245K | $245K | 0.81% |
| FRED MAXWELL II3 | ACIUS GROUP SUITE 203, 2591 DALLAS PARKWAY FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $150K | — | $150K | 0.50% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $24K | $24K | 0.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEDGWICK CMS INC. EIN 36-2685608 CONTRACT ADMINISTRATOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing; Recordkeeping fees; Account maintenance fees Service code 12 | — | $2.6M |
| DELTA DENTAL OF MISSOURI EIN 43-0908349 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $2.1M |
| LIFEWORKS EIN 52-1883918 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.1M |
| ASCENSION HEALTHCARE EIN 31-1662309 PLAN ADMINISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $1.1M |
| VISION SERVICE PLAN EIN 36-3560825 CONTRACT ADMINISTRATOR | Direct payment from the plan; Claims processing; Recordkeeping fees; Account maintenance fees; Contract Administrator Service code 12 | — | $620K |
| ASCENSION EMPLOYER SOLUTIONS EAP EIN 39-1127163 CONTRACT ADMINISTRATOR | Contract Administrator; Direct payment from the plan Service code 13 | — | $366K |
| GREENSFELDER, HEMKER, & GALE, PC EIN 43-1313567 LEGAL | Legal; Direct payment from the plan Service code 29 | — | $173K |
| NORTHERN TRUST EIN 36-1561860 TRUSTEE | Trustee (directed); Account maintenance fees; Recordkeeping fees Service code 25 | — | $85K |
| AON CONSULTING EIN 22-2232264 CONSULTING | Copying and duplicating; Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $76K |
| LOOMIS SAYLES & CO, L.P. EIN 04-3200030 INVESTMENT MANAGER | Investment management fees paid directly by plan Service code 51 | — | $63K |
| WESTERN ASSET MGMT CO. EIN 52-1200960 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $57K |
| CLIFTONLARSONALLEN, LLP EIN 41-0746749 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $54K |
| EAGLE CAPITAL MGMT LLC EIN 22-3361201 INVESTMENT MANAGER | Soft dollars commissions; Investment management Service code 28 | — | $23K |
| HRSOFT USA, INC EIN 01-0560270 OTHER SERVICES | Other services Service code 49 | — | $15K |
| BLACKROCK INSTITUTIONAL TRUST CO EIN 94-3112180 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | — | $8K |
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 | 116,688 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 415 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 117,103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 116,688 | $39.6M |
| Short-term disability(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $204K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 116,688 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.