| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES HUFSTETLER3 Filed as: JAMES L. HUFSTETLER, SR. | P.O. BOX 536246 ORLANDO, FL 32853 | CIGNA HEALTH & LIFE INSURANCE COMPANY & AFFILIATES (CIGNA) | $81K | — | $81K | 1.49% |
| JAMES HUFSTETLER3 Filed as: JAMES L. HUFSTETLER, SR. | P.O. BOX 536246 ORLANDO, FL 32853 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $50K | — | $50K | 18.00% |
| JAMES L HUFSTETLER3 Filed as: JAMES L. HUFSTETLER | P.O. BOX 536246 ORLANDO, FL 32853 | COMPBENEFITS INSURANCE - DENTAL | $17K | — | $17K | 10.27% |
| JAMES HUFSTETLER3 Filed as: JAMES L. HUFSTETLER, SR. | P.O. BOX 536246 ORLANDO, FL 32853 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $26K | — | $26K | 18.00% |
| JAMES HUFSTETLER3 Filed as: JAMES L. HUFSTETLER, SR. | P.O. BOX 536246 ORLANDO, FL 32853 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | — | $14K | 18.00% |
| SEE ATTACHED3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $185 | $6K | 9.23% |
| JAMES L HUFSTETLER3 Filed as: JAMES L. HUFSTETLER | P.O. BOX 536246 ORLANDO, FL 32853 | COMPENEFITS INSURANCE - VISION | $5K | — | $5K | 9.16% |
| SEE ATTACHED3 | — | AFLAC | $27 | — | $27 | 3.35% |
| SEE ATTACHED3 | — | WASHINGTON NATIONAL HEALTH INSURANCE COMPANY | $114 | — | $114 | 33.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DISCOVERY BENEFITS EIN 90-0058554 NONE | Contract Administrator Service code 13 | P.P. BOX 9528 FARGO, ND 58106 | $10K |
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 | 1,080 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 54 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY & AFFILIATES (CIGNA) | 773 | $5.5M |
| Dental | COMPBENEFITS INSURANCE - DENTAL | 640 | $163K |
| Vision | COMPENEFITS INSURANCE - VISION | 504 | $54K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,080 | $342K |
| Short-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 374 | $143K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 304 | $147K |
| Prescription drug | CIGNA HEALTH & LIFE INSURANCE COMPANY & AFFILIATES (CIGNA) | 773 | $5.5M |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 124 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,080 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.