| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICE | PO BOX 203510 DALLAS, TX 75230 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $28K | — | $28K | 9.97% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICE | PO BOX 203510 DALLAS, TX 75320 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $850 | — | $850 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $302K |
| WELLS FARGO EIN 58-2650555 NONE | Insurance agents and brokers Service code 22 | — | $57K |
| GASTON FAMILY HEALTH SERVICES INC. EIN 58-1958398 NONE | Other services Service code 49 | — | $46K |
| CORPORATE BENEFIT SERVICES INC. EIN 56-1167792 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance agents and brokers Service code 15 | — | $30K |
| TEAM PHARMACY CONSULTING EIN 46-5635028 NONE | Other services Service code 49 | — | $19K |
| WEST HEALTH ADVOCATE SOLUTIONS, INC EIN 23-3080019 NONE | Insurance agents and brokers Service code 22 | — | $10K |
| GREERWALKER LLP EIN 56-1434747 NONE | Accounting (including auditing) Service code 10 | — | $9K |
| STANLEY, HUNT, DUPREE & RHINE NONE | Actuarial Service code 11 | PO BOX 1033 CHARLESTON, WV 25324 | $8K |
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 | 1,098 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 2 | $16K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,303 | $284K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,303 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,303 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.