| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN SERVICES, LLC | PO BOX 2103 HUNTINGTON, WV 25721 | HIGHMARK WEST VIRGINIA, INC. DBA MOUNTAIN STATE BLUE CROSS BLUE SHIELD | $54K | — | $54K | 3.81% |
| BRANDON M CLINE3 | 102 MEADOW POINTE BARBOURSVILLE, WV 255049209 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 12.21% |
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 | 89 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 30 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HIGHMARK WEST VIRGINIA, INC. DBA MOUNTAIN STATE BLUE CROSS BLUE SHIELD | 100 | $1.5M |
| Dental | HIGHMARK WEST VIRGINIA, INC. DBA MOUNTAIN STATE BLUE CROSS BLUE SHIELD | 100 | $1.4M |
| Vision | HIGHMARK WEST VIRGINIA, INC. DBA MOUNTAIN STATE BLUE CROSS BLUE SHIELD | 100 | $1.4M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 198 | $25K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 198 | $25K |
| Prescription drug(2 contracts) | HIGHMARK WEST VIRGINIA, INC. DBA MOUNTAIN STATE BLUE CROSS BLUE SHIELD | 100 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.