| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDOVA HEALTHCARE5 Filed as: MEDOVA HEALTHCARE FINANCIAL GROUP | 8300 E THORN DR., STE 300 WICHITA, KS 67226 | UNERWRITING MANAGEMENT EXPERT | — | $74K | $74K | 3.28% |
| MEDOVA HEALTHCARE5 | 8300 E THORN DR., STE 300 WICHITA, KS 67226 | UNERWRITING MANAGEMENT EXPERT | — | $41K | $41K | 1.81% |
| HAWAII MAINLAND ADMINISTRATORS5 Filed as: HAWAII MAINLAND & ADMINISTRATORS | 1600 W BROADWAY AVE STE 300 TEMPE, AZ 85282 | UNERWRITING MANAGEMENT EXPERT | — | $40K | $40K | 1.78% |
| LIFESTYLE HEALTH ADVISORS3 | 51 CROWNPOINTE COVE JACKSON, TN 38305 | UNERWRITING MANAGEMENT EXPERT | $40K | — | $40K | 1.78% |
| PHCS4 Filed as: MULTIPLAN INC PHCS | PO BOX 29380 NEW YORK, NY 10087 | UNERWRITING MANAGEMENT EXPERT | — | $34K | $34K | 1.50% |
| AGA INSURANCE INC3 | 1176 N KENTUCKY ST KINGSTON, TN 37763 | UNERWRITING MANAGEMENT EXPERT | $15K | — | $15K | 0.65% |
| MEDOVA HEALTHCARE3 Filed as: MEDOVA HEALTCARE FINANCIAL GROUP | 8300 E THORN DR STE 300 WICHITA, KS 67226 | UNERWRITING MANAGEMENT EXPERT | $4K | — | $4K | 0.19% |
| BUZZ HR LLC5 | PO BOX 700 MADISONVILLE, LA 70447 | UNERWRITING MANAGEMENT EXPERT | — | $4K | $4K | 0.18% |
| MICHELLE CULTRA3 | 1781 SHOAL CREEK LN COLLIERVILLE, TN 38017 | UNERWRITING MANAGEMENT EXPERT | $4K | — | $4K | 0.16% |
| CARE ADVOCATES4 | 8300 E THORN DR. STE 300 WICHITA, KS 67226 | UNERWRITING MANAGEMENT EXPERT | — | $3K | $3K | 0.15% |
| ENCORE ADVISORS4 Filed as: ENCORE | 7224 SOLUTION CENTER CHICAGO, IL 60677 | UNERWRITING MANAGEMENT EXPERT | — | $2K | $2K | 0.10% |
| CENTER CARE PPO4 | PO BOX 9819 BOWLING GREEN, KY 42102 | UNERWRITING MANAGEMENT EXPERT | — | $1K | $1K | 0.05% |
| HEALTH PARTNERS4 Filed as: HEALTH PARTNERS INC | PO BOX 3490 JACKSON, TN 38303 | UNERWRITING MANAGEMENT EXPERT | — | $774 | $774 | 0.03% |
| MEDCOST AMERICAN HC ALLIANCE4 | 9229 WARD PARKWAY STE 300 KANSAS CITY, MO 64114 | UNERWRITING MANAGEMENT EXPERT | — | $660 | $660 | 0.03% |
| FIRST HEALTH4 Filed as: FIRST HEALTH GROUP CORP | 23291 NETWORK PLACE CHICAGO, IL 60673 | UNERWRITING MANAGEMENT EXPERT | — | $185 | $185 | 0.01% |
| MISSISSIPPI MANUFACTURERS ASSOC4 Filed as: MISSISSIPPI PHYSICIAN CARE NETWORK | PO BOX 22884 JACKSON, MS 39225 | UNERWRITING MANAGEMENT EXPERT | — | $66 | $66 | 0.00% |
No Schedule C service providers reported on this filing.
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNERWRITING MANAGEMENT EXPERT | 0 | $2.3M |
| Stop-loss / reinsurancereinsurance | UNERWRITING MANAGEMENT EXPERT | 0 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.