| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FM FINANCIAL SERVICES INCORPORATED3 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $18K | $0 | $18K | 4.35% |
| FM FINANCIAL SERVICES INCORPORATED3 | 2677 ROCHELLE PLACE SIMI VALLEY, CA 93063 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $31K | $1K | $32K | 15.45% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC. | 2677 ROCHELLE PLACE SIMI VALLEY, CA 93063 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | $0 | $10K | 8.15% |
| FOUNDATION RISK PARTNERS CORP3 | 25 FAIRVIEW AVE VERONA, NJ 07044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $0 | $3K | 2.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $24K |
| WAGEWORKS EIN 94-3351864 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $4K |
| CIGNA | Other services; Named fiduciary; Direct payment from the plan; Contract Administrator; Claims processing; Non-monetary compensation; Float revenue; Participant communication Service code 12 | — | $0 |
| FM FINANCIAL SERVICES INCORPORATED EIN 20-4510876 BROKER | Other commissions Service code 55 | — | $0 |
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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 200 | $206K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 200 | $206K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 218 | $123K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 218 | $123K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 218 | $123K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 280 | $417K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 218 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.