| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RUST INSURANCE AGENCY LLC3 | 1510 H STREET NW, 5TH FLOOR WASHINGTON, DC 20005 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH | $15K | — | $15K | 20.00% |
| RUST INSURANCE AGENCY LLC3 Filed as: RUST INSURANCE AGENCY | 1510 H STREET NW, 5TH FLOOR WASHINGTON, DC 20005 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH | $7K | — | $7K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SERVICES MANAGEMENT CORPORATION EIN 52-1200541 SUBSIDIARY OF NTCA | Contract Administrator; Direct payment from the plan Service code 13 | — | $12.9M |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.9M |
| HEALTH AXIS EIN 75-2968705 NONE | Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $1.2M |
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 NONE | Direct payment from the plan; Consulting (general); Other services Service code 16 | — | $1.2M |
| OPTUM EIN 41-1591944 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $861K |
| WILLIS TOWERS WATSON EIN 53-0181291 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $413K |
| MORNEAU SHEPELL EIN 58-1415322 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $308K |
| GROOM LAW GROUP EIN 52-1219029 NONE | Legal; Direct payment from the plan Service code 29 | — | $273K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Other services; Direct payment from the plan Service code 49 | — | $217K |
| MEDICAL REVIEW INSTITUTE EIN 87-0394756 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $90K |
| EXAM COORDINATORS NETWORK EIN 95-3327434 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $46K |
| WILSHIRE ASSOCIATES EIN 95-2755361 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $40K |
| CLIFTONLARSONALLEN, LLP EIN 47-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $38K |
| ALLEGRA ASHEVILLE EIN 56-2075508 NONE | Other services; Direct payment from the plan Service code 49 | — | $29K |
| FOX ROTHSCHILD, LLP EIN 23-1404723 NONE | Legal; Direct payment from the plan Service code 29 | — | $16K |
| BLACKROCK INSTITUTIONAL TRUST CO EIN 94-3112180 NONE | Direct payment from the plan; Trustee (discretionary); Investment management; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan Service code 21 | — | $11K |
| CHRISTOPHER R. REBOL DDS, PA EIN 26-2953796 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $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 | 18,632 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,339 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 21,971 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | ING RELIASTAR LIFE INSURANCE COMPANY | 24,267 | $5.1M |
| Other(3 contracts, 2 carriers) | ING RELIASTAR LIFE INSURANCE COMPANY | 24,267 | $5.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 24,267 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.