| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS AND COMPENSATION3 | SYSTEM INC 99 PARK AVE FL 25 NEW YORK, NY 100161601 | METROPOLITIAN LIFE INSURANCE COMPANY | — | $75 | $75 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $19K |
| TRIPLE S EIN 66-0555677 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $17K |
| METROPOLITAN LIFE EIN 13-5581829 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $11K |
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 | 56,187 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,980 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,948 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 65,115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(9 contracts, 2 carriers) | METROPOLITIAN LIFE INSURANCE COMPANY | 95,197 | $59.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95,197 | — |
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.