| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IKON BENEFITS GROUP, INC.3 Filed as: IKON SOLUTIONS INC. | 270 MUNOZ RIVERA AVE SUITE PH 1 SAN JUAN, PR 00918 | TRIPLE S SALUD, INC. | $355 | — | $355 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Claims processing; Named fiduciary; Other services; Participant communication Service code 12 | — | $8.0M |
| CIGNA BEHAVIORAL HEALTH INC EIN 41-1648670 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Participant communication; Direct payment from the plan; Other services Service code 12 | — | $1.2M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $289K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-4008324 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $138K |
| TOWERS WATSON DELAWARE INC EIN 53-0181291 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | — | $59K |
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 | 4,986 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,701 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,687 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 9 | $55K |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 9 | $55K |
| Life insurance | AETNA LIFE INSURANCE CO. | 5,696 | $11.5M |
| Prescription drug | TRIPLE S SALUD, INC. | 0 | $7K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 9 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,696 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.