| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PARTNERS GROUP LLC3 Filed as: BENEFIT PARTNERS INC | 102 HIDDEN PASTURES DR CRAMERTON, NC 28032 | NATIONAL GUARDIAN LIFE | $6K | — | $6K | 7.09% |
| BENEFIT PARTNERS GROUP LLC3 Filed as: BENEFIT PARTNERS INC | 102 HIDDEN PASTURES DR STE 206 CRAMERTON, NC 28032 | RELIANCE STANDARD | $5K | — | $5K | 8.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PLANNED ADMIINISTRATORS INC EIN 57-0718839 | Claims processing; Contract Administrator Service code 12 | — | $36K |
| MEDCOST EIN 56-1999192 | Other fees Service code 99 | — | $10K |
| BENEFIT PARTNERS INC EIN 56-2045961 | Insurance agents and brokers Service code 22 | — | $9K |
| BCBS OF SC EIN 57-0287419 | Other insurance fees and expenses Service code 73 | — | $5K |
| FIRSTHEALTH EIN 20-1736437 | Other fees Service code 99 | — | $2K |
| CERIDIAN EIN 59-3424469 | Other fees Service code 99 | — | $2K |
| WAGE WORKS INC EIN 94-3351864 | Other fees Service code 99 | — | $863 |
| HEALTHRISK RESOURCE GROUP LLC EIN 52-2085838 | Other fees Service code 99 | — | $236 |
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 | 153 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | H.C.C. LIFE INSURANCE | 153 | $221K |
| Dental | NATIONAL GUARDIAN LIFE | 159 | $90K |
| Vision | NATIONAL GUARDIAN LIFE | 159 | $90K |
| Life insurance(2 contracts) | RELIANCE STANDARD | 235 | $127K |
| Short-term disability | RELIANCE STANDARD | 235 | $58K |
| Stop-loss / reinsurancereinsurance | H.C.C. LIFE INSURANCE | 153 | $221K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.