| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NELSEN INSURANCE CONSULTING INC.,/H3 | 30 BRAINTREE HILL OFFICE PARK, #203 BRAINTREE, MA 02184 | TOKIO MARINE HCC - STOP LOSS GROUP | $13K | $13K | $27K | 6.64% |
| H.J. KNIGHT INTERNATIONAL INSURANCE3 | 30 BRAINTREE HILL OFFICE PARK, #203 BRAINTREE, MA 02184 | TOKIO MARINE HCC - STOP LOSS GROUP | $16K | $10K | $26K | 6.44% |
| TOTAL INSURANCE SOLUTIONS3 | — | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 62-0427913 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $957K |
| SOUTHERN BENEFIT ADMINISTRATORS INC EIN 62-1116095 NONE | Direct payment from the plan; Plan Administrator; Consulting (general); Participant communication; Copying and duplicating Service code 14 | — | $568K |
| HIGHLAND CAPITAL MANAGEMENT, LLC EIN 27-5440911 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $57K |
| NEEDLES & ASSOCIATES, LLC EIN 51-0435869 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $41K |
| CHARTWELL INVESTMENT PARTNERS NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 1205 WESTLAKES DR #100 BERWYN, PA 19312 | $34K |
| GODWIN, MORRIS, LAURENZI & BLOOMFIE EIN 62-1371542 NONE | Legal; Direct payment from the plan Service code 29 | — | $18K |
| EXPRESS SCRIPTS NONE | Other fees; Direct payment from the plan Service code 50 | PO BOX 52150 PHOENIX, AZ 85072 | $16K |
| OSBORN CARREIRO & ASSOC EIN 71-0631123 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $7K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432390 NONE | Consulting (general); Investment advisory (plan); Direct payment from the plan Service code 16 | — | $5K |
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 | 1,973 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,991 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 4,072 | $124K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HCC - STOP LOSS GROUP | 1,991 | $403K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 4,072 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,072 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.