| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF NEVADA, LLC | 375 E WARM SPRINGS RD SUITE 20 LAS VEGAS, NV 89119 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $3K | — | $3K | 0.36% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NEVADA | 975 KELLY JOHNSON DR LAS VEGAS, NV 89119 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $0 | — | $0 | 0.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF PENNSYLVANIA | 1301 GRANDVIEW AVE STE 400 PITTSBURGH, FL 15211 | STANDARD INSURANCE COMPANY | $23K | $11K | $34K | 8.51% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF PENNSYLVANIA, | 1301 GRANDVIEW AVE STE 400 PITTSBURGH, PA 15211 | STANDARD INSURANCE COMPANY | $10K | $5K | $16K | 8.73% |
| RAURBAZEL CORPORATION3 | 604 S JONES BLVD LAS VEGAS, NV 89107 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | — | $6K | 3.60% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF PENNSYLVANIA | 1301 GRANDVIEW AVE STE 400 PITTSBURGH, PA 15211 | STANDARD INSURANCE COMPANY | $8K | $4K | $12K | 8.45% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF PA LLC | 1301 GRANDVIEW AVE STE 400 PITTSBURGH, PA 15211 | VISION SERVICE PLAN | $7K | — | $7K | 9.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVIC | 1421 PINE RIDGE RD STE 200 NAPLES, FL 34109 | VISION SERVICE PLAN | $708 | — | $708 | 0.91% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF PENNSYLVANIA | 1301 GRANDVIEW AVE STE 400 PITTSBURGH, PA 15211 | STANDARD INSURANCE COMPANY | $7K | $3K | $10K | 27.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN EIN 16-1264154 ADMINISTRATIVE FEES | Plan Administrator Service code 14 | — | $101K |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $94K |
| DELTA DENTAL OF MISSOURI EIN 43-0908349 ADMIN FEES | Contract Administrator; Claims processing Service code 12 | — | $61K |
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 | 298 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 119 | $763K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 155 | $162K |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 627 | $239K |
| Life insurance | STANDARD INSURANCE COMPANY | 1,540 | $399K |
| Short-term disability | STANDARD INSURANCE COMPANY | 208 | $180K |
| Long-term disability | STANDARD INSURANCE COMPANY | 365 | $145K |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 119 | $763K |
| Stop-loss / reinsurancereinsurance(2 contracts) | GERBER LIFE INSURANCE POLICY | 141 | $451K |
| Other | STANDARD INSURANCE COMPANY | 240 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,540 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.