| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FAISON GROUP BENEFITS INC3 Filed as: FAISON GROUP BENEFITS | 6468 NW 5TH WAY FT. LAUDERDALE, FL 33309 | HUMANA INSURANCE COMPANY | $7K | — | $7K | 9.18% |
| FAISON GROUP BENEFITS INC3 Filed as: FAISON GROUP BENEFITS, INC. | 6468 NW 5TH WAY FT. LAUDERDALE, FL 33309 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 11.23% |
| BENEFIT PLAN ADMINISTRATORS5 Filed as: BENEFIT PLAN ADMINISTRATORS, INC. | 101 S. JEFFERSON STREET, 3RD FLOOR ROANOKE, VA 24011 | GERBER LIFE INSURANCE COMPANY | $9K | — | $9K | — |
| FAISON GROUP BENEFITS INC3 Filed as: FAISON GROUP BENEFITS | 10321 WASHINGTON HIGHWAY GLEN ALLEN, VA 23059 | GERBER LIFE INSURANCE COMPANY | $9K | — | $9K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT PLAN ADMINISTRATORS, INC. EIN 54-1419753 | Claims processing Service code 12 | — | $39K |
| FAISON GROUP BENEFITS | Insurance agents and brokers Service code 22 | — | $22K |
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 | Contract Administrator Service code 13 | — | $18K |
| HEALTHIEST YOU | Contract Administrator Service code 13 | 5350 E. HIGH ST, SUITE 350 PHOENIX, AZ 85054 | $6K |
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 | 111 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 108 | $80K |
| Vision | HUMANA INSURANCE COMPANY | 108 | $80K |
| Life insurance | HUMANA INSURANCE COMPANY | 108 | $80K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 113 | $51K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 113 | $51K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 184 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.