| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | MUTUAL OF OMAHA | $3K | — | $3K | 5.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR EIN 31-1558779 CONTRACT ADMINISTRATION | Contract Administrator Service code 13 | 333 WEST VINE STREET LEXINGTON, KY 40507 | $137K |
| GENESIS BENEFIT SOLUTIONS, INC. CONSULTANT | Consulting (general) Service code 16 | 7007 GRAHAM RD. 208 INDIANOPOLIS, IN 46220 | $23K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 26-4310632 INVESTMENT CONSULTANT | Investment advisory (plan) Service code 27 | 500 LEE STREET, STE 300 CHARLESTON, WV 25323 | $10K |
| FRANK N HESTAND CPA PSC EIN 61-1336870 AUDITOR | Accounting (including auditing) Service code 10 | 261 REGENCY CIRCLE LEXINGTON, KY 40503 | $9K |
| TRUIST BANK EIN 61-0286780 CUSTODIAN | Custodial (other than securities) Service code 18 | 400 E. WASHINGTON ST. CHARLESTON, WV 25389 | $8K |
| JOHN DASCOLI PLLC EIN 20-5780253 ATTORNEY | Legal Service code 29 | 2442 KANAWHA BLVD EAST CHARLESTON, WV 25311 | $4K |
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 | 446 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 464 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK WEST VIRGINIA | 425 | $760K |
| Life insurance | MUTUAL OF OMAHA | 540 | $56K |
| Short-term disability | MUTUAL OF OMAHA | 540 | $56K |
| Stop-loss / reinsurancereinsurance | HIGHMARK WEST VIRGINIA | 425 | $760K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 540 | — |
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.