| Metric | This plan | Peer median | Peer avg | vs. peer |
|---|---|---|---|---|
| Premium per covered life | $886 | $375 | $650 | +136.0% |
| Broker comp per covered life | $0 | $4 | $18 | -100.0% |
| Broker comp % of premium | 0.0% | 1.8% | 4.1% | -1.8 pp |
| Retention rate | 0.0% | 0.0% | 2.4% | |
| Premium YoY % | -0.7% | -0.2% | -5.1% | -0.5 pp |
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE CO. EIN 36-2739571 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $4.3M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Other services; Contract Administrator; Claims processing Service code 12 | — | $1.6M |
| BLUE CROSS BLUE SHIELD OF GEORGIA EIN 58-0469845 NONE | Float revenue; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services Service code 12 | — | $710K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $238K |
| CIGNA BEHAVIORAL HEALTH, INC. EIN 41-1648670 NONE | Other services; Contract Administrator; Direct payment from the plan; Participant communication; Float revenue; Claims processing Service code 12 | — | $97K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 70,689 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 5,032 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 70,689 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(32 contracts, 19 carriers) | KAISER FOUNDATION HEALTH PLAN INC. (NO. CALIFORNIA) | 1,594 | $21.1M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 15,508 | $15.3M |
| Vision(4 contracts, 4 carriers) | HEALTH NET | 10,473 | $5.6M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 58,882 | $13.7M |
| Prescription drug | HEALTH PLAN OF NEVADA | 65 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 58,882 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.