| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 | 18940 NORTH PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | — | $5K | $5K | 4.30% |
| STHEALTH BENEFIT SOLUTIONS LLC3 Filed as: STHEALTH BENEFIT SOLUTIONS, LLC | 18940 NORTH PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | — | $1K | $1K | 1.25% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INS. CO. | $5K | $4K | $9K | 9.69% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | GUARDIAN LIFE INS. CO. OF AMERICA | — | $250 | $250 | 2.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SMARTFINANCIALS.NET EIN 03-0382263 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $71K |
| UMR, INC. EIN 39-1995276 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $25K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| HALEY & ASSOCIATES, LLC EIN 55-0108153 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $10K |
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 | 184 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INS. CO. OF AMERICA | 121 | $9K |
| Vision | GUARDIAN LIFE INS. CO. OF AMERICA | 121 | $9K |
| Life insurance | UNITED OF OMAHA LIFE INS. CO. | 182 | $90K |
| Short-term disability | UNITED OF OMAHA LIFE INS. CO. | 182 | $90K |
| Long-term disability | UNITED OF OMAHA LIFE INS. CO. | 182 | $90K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 84 | $111K |
| Other | UNITED OF OMAHA LIFE INS. CO. | 182 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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.