| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CYPRESS BENEFIT ADMINISTRATORS, LLC3 | 5560 W GRANDE MARKET DRIVE APPLETON, WI 54913 | GREENWICH INSURANCE COMPANY | — | $95K | $95K | 35.03% |
| HSTECHNOLOGY SOLUTIONS, INC3 Filed as: HSTECHNOLOGY SOLUTIONS | 3857 BIRCH STREET SUITE 586 NEWPORT BEACH, CA 92660 | GREENWICH INSURANCE COMPANY | — | $41K | $41K | 15.14% |
| PHCS3 Filed as: HEALTH EOS BY MULTIPLAN INC. | PO BOX 29380 NEW YORK, NY 10087 | GREENWICH INSURANCE COMPANY | — | $19K | $19K | 6.92% |
| PDCM INSURANCE3 | 3022 AIRPORT BLVD PO BOX 2597 WATERLOO, IA 50703 | GREENWICH INSURANCE COMPANY | — | $17K | $17K | 6.38% |
| MEDWATCH LLC3 Filed as: MEDWATCH | PO BOX 21796 TAMPA, FL 33630 | GREENWICH INSURANCE COMPANY | — | $16K | $16K | 5.97% |
| TRUE NETWORK ADVISORS3 | 1513 AMBER LANE GUNTERVILLW, AL 35976 | GREENWICH INSURANCE COMPANY | — | $2K | $2K | 0.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CYPRESS BENEFIT ADMINISTRATORS, LLC EIN 39-1997579 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $95K |
| HSTECHNOLOGY SOLUTIONS EIN 27-1818792 OTHER | Other fees Service code 99 | — | $41K |
| HEALTH EOS BY MULTIPLAN EIN 39-1634080 OTHER | Other fees Service code 99 | — | $19K |
| PDCM INSURANCE EIN 42-1362866 INSURANCE AGENT | Insurance agents and brokers Service code 22 | — | $17K |
| MEDWATCH EIN 16-1662117 OTHER | Other fees Service code 99 | — | $16K |
| TRUE NETWORK ADVISORS EIN 63-1273478 INSURANCE AGENT | Insurance agents and brokers Service code 22 | — | $2K |
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 | 414 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 414 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GREENWICH INSURANCE COMPANY | 414 | $272K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 414 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
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.