| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC.3 | P.O. BOX 1309 MUSKOGEE, OK 74402 | COMPANION LIFE (MEDICAL) | $12K | $0 | $12K | 3.10% |
| HEALTHCARE SOLUTIONS GROUP, INC.3 | PO BOX 1309 MUSKOGEE, OK 74402 | COMPANION LIFE (LIFE) | $3K | $0 | $3K | 100.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC. EIN 73-1478844 PLAN SUPERVISOR | Claims processing Service code 12 | — | $25K |
| WPPA EIN 48-1009834 PPO NETWORK | Other services Service code 49 | — | $12K |
| HSG CONSOLIDATED EIN 73-1478844 UTILIZATION REVIEW | Other services Service code 49 | — | $3K |
| MULTIPLAN, INC. EIN 13-3068979 PPO NETWORK | Other services Service code 49 | — | $66 |
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 | 101 | 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) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE (MEDICAL) | 101 | $372K |
| Dental | COMPANION LIFE (MEDICAL) | 101 | $372K |
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE (MEDICAL) | 101 | $374K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 101 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.