| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORESOURCE, INC.3 Filed as: CORESOURCE | 62707 COLLECTION CENTER DR CHICAGO, IL 60693 | VISION SERVICE PLAN | $67K | — | $67K | 8.12% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES(SE) | 1901 ROXBOROUGH RD STE 315 CHARLOTTE, NC 28211 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22K | $24K | $46K | 8.70% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LUMINARE HEALTH BENEFITS, INC EIN 35-1846036 NONE | Claims processing; Plan Administrator; Other services Service code 12 | — | $4.1M |
| AETNA - PPO EIN 06-6033492 NONE | Claims processing; Other services Service code 12 | — | $1.1M |
| MULTIPLAN EIN 43-6004435 NONE | Plan Administrator; Claims processing; Other services Service code 12 | — | $278K |
| TELADOC EIN 04-3705970 NONE | Plan Administrator; Other services; Claims processing Service code 12 | — | $158K |
| CHANGE HEALTHCARE EIN 20-5716594 NONE | Claims processing; Other services Service code 12 | — | $79K |
| ACS- A XEROX COMPANY EIN 36-4129784 NONE | Other services; Claims processing Service code 12 | — | $43K |
| HEALTHCARE BLUEBOOK EIN 46-4399706 NONE | Plan Administrator; Other services; Claims processing Service code 12 | — | $42K |
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 | 10,051 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 10,051 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC | 341 | $5.7M |
| Vision | VISION SERVICE PLAN | 5,115 | $829K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 10,072 | $527K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 249 | $1.9M |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 9,300 | $1.1M |
| Other | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 249 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,072 | — |
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.