| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CITY INSURANCE PROFESSIONALS3 | 3601 MACCORKLE AVENUE SE CHARLESTON, WV 25304 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $26K | — | $26K | 18.11% |
| CITY INSURANCE PROFESSIONALS3 | 3601 MACCORKLE AVENUE SOUTHEAST P.O. BOX 1126 CHARLESTON, WV 25304 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $16K | — | $16K | 15.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ASST. CORP. EIN 55-0715869 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $170K |
| 4 MOST 4 DENTAL NETWORK EIN 31-1538612 NONE | Other services Service code 49 | — | $45K |
| MEDWATCH LLC EIN 59-2884658 UTILIZATION REVIEW | Other services; Other insurance fees and expenses Service code 49 | — | $19K |
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 | 553 | 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. |
| Total participants (= "Plan participants" tile) | 553 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 873 | $143K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 865 | $106K |
| Stop-loss / reinsurancereinsurance | ACE AMERICAN INSURANCE COMPANY | 553 | $287K |
| Other | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 873 | $143K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 873 | — |
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.