| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE LOOMIS COMPANY5 | 850 NORTH PARK ROAD WYOMISSING, PA 19610 | THE LOOMIS COMPANY | — | $68K | $68K | 32.52% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ | 9755 PATUXENT WOODS DRIVE, STE 200 COLUMBIA, MD 21046 | THE LOOMIS COMPANY | — | $37K | $37K | 17.65% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 452632886 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 11.79% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS | 897 12TH STREET HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE | $44 | — | $44 | 4.03% |
| BROCKMAN, WILLIAM, HENRY3 | 530 GAITHER RD, SUITE 350 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE | $7 | — | $7 | 0.64% |
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 | 99 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | THE LOOMIS COMPANY | 99 | $210K |
| Dental | THE LOOMIS COMPANY | 99 | $210K |
| Vision | THE LOOMIS COMPANY | 99 | $210K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $72K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $72K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $72K |
| Prescription drug | THE LOOMIS COMPANY | 99 | $210K |
| Stop-loss / reinsurancereinsurance | THE LOOMIS COMPANY | 99 | $210K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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.