| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEY BENEFIT ADMINISTRATORS, INC5 Filed as: KEY BENEFIT ADMINISTRATORS, INC. | 534 RIVERCROSSING DRIVE, SUITE 200 FORT MILL, SC 29715 | FIDELITY SECURITY | $34K | — | $34K | 11.74% |
| CIGNA4 Filed as: GREAT WEST HEALTHCARE/CIGNA | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | FIDELITY SECURITY | $17K | — | $17K | 5.72% |
| MVB INSURANCE, LLC3 | 48 DONLEY STREET MORGANTOWN, WV 26501 | FIDELITY SECURITY | $6K | — | $6K | 2.14% |
| AMERICAN HEALTH DATA INSTITUTE4 | 534 RIVERCROSSING DRIVE FORT MILL, SC 29715 | FIDELITY SECURITY | $5K | — | $5K | 1.83% |
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 | 102 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY | 452 | $289K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 452 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.