| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRA EMPLOYER HEALTH LLC5 Filed as: INTEGRA EMPLOYER HEALTH, LLC | PO BOX 1178 MATTHEWS, NC 28106 | UNITED STATES FIRE INSURANCE COMPANY | — | $422K | $422K | — |
| INTEGRA EMPLOYER HEALTH LLC5 Filed as: INTEGRA EMPLOYER HEALTH, LLC | PO BOX 1178 MATTHEWS, NC 28106 | AETNA LIFE INSURANCE COMPANY | — | $48K | $48K | — |
| INTEGRA EMPLOYER HEALTH LLC5 Filed as: INTEGRA EMPLOYER HEALTH, LLC | PO BOX 1178 MATTHEWS, NC 28106 | AETNA LIFE INSURANCE COMPANY | — | $27K | $27K | — |
| INTEGRA EMPLOYER HEALTH LLC5 Filed as: INTEGRA EMPLOYER HEALTH, LLC | PO BOX 1178 MATTHEWS, NC 28106 | AETNA LIFE INSURANCE COMPANY | — | $94K | $94K | — |
| INTEGRA EMPLOYER HEALTH LLC5 Filed as: INTEGRA EMPLOYER HEALTH, LLC | PO BOX 1178 MATTHEWS, NC 28106 | VISION SERVICE PLAN | $1K | $32K | $33K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTEGRA EMPLOYER HEALTH EIN 56-1392505 | Contract Administrator Service code 13 | PO BOX 1178 MATTHEWS, NC 28106 | $80K |
| CIGNA EIN 59-1031071 | Other services Service code 49 | 900 COTTAGE GROVE ROAD HARTFORD, CT 06152 | $51K |
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 | 452 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 453 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED STATES FIRE INSURANCE COMPANY | 339 | $0 |
| Vision | VISION SERVICE PLAN | 236 | $0 |
| Life insurance(2 contracts) | AETNA LIFE INSURANCE COMPANY | 455 | $0 |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 262 | $0 |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 262 | $0 |
| Stop-loss / reinsurancereinsurance | UNITED STATES FIRE INSURANCE COMPANY | 339 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 455 | — |
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."
No prospect flags tripped on this filing.