| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS, LLC. | 10 NORTH PARK DR #200 HUNT VALLEY, MD 21030 | HARTFORD LIFE AND ACCIDENT | $19K | $3K | $22K | 47.36% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 200 INTERNATIONAL CIR #4500 HUNT VALLEY, MD 21031 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 16.32% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 4819 EMPEROR BLVD #200 DURHAM, NC 27703 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $459 | $459 | 1.53% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 200 INTERNATIONAL CIRCLE #4500 HUNT VALLEY, MD 21031 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 100.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 4819 EMPEROR BLVD #200 DURHAM, NC 27703 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $433 | $433 | 7.90% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 200 INTERNATIONAL CIRCLE #4500 HUNT VALLEY, MD 21031 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $371 | — | $371 | 16.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 4819 EMPEROR BLVD #200 DURHAM, NC 27703 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $29 | $29 | 1.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLEGIANCE BENEFIT PLAN MANAGEMENT EIN 81-0400550 ADMIN FEES | Claims processing; Contract Administrator Service code 12 | — | $116K |
| ALLEGIANCE CARE MANAGEMENT, INC. EIN 03-0507057 ADMIN FEES | Contract Administrator; Claims processing Service code 12 | — | $11K |
| RXBENEFITS, INC. EIN 63-1157085 RX ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | — | $4K |
| ALLEGIANCE COBRA SERVICES, INC. EIN 71-0916514 ADMIN FEES | Contract Administrator; Claims processing Service code 12 | — | $73 |
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 | 522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 532 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 472 | $10K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 522 | $25K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 53 | $30K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 515 | $91K |
| Other(5 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 522 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 522 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.