| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 1125 SANCTUARY PKWT, STE 300 ALPHARETTA, GA 300197614 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $35 | $8K | 1.66% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER RD, STE 900 HOUSTON, TX 770565306 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 1.04% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1125 SANCTUARY PARKWAY, SUITE 300 ALPHARETTA, GA 300097614 | SAFEGUARD HEALTH PLANS, INC | $648 | — | $648 | 1.67% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER RD, STE 900 HOUSTON, TX 770565306 | SAFEGUARD HEALTH PLANS, INC | — | $405 | $405 | 1.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC EIN 33-0441200 PHARMACY BENEFIT MGMT | Float revenue; Direct payment from the plan; Other fees; Claims processing Service code 12 | PO BOX 2975 MISSION, KS 66201 | $2.5M |
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 | 2,656 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,661 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,611 | $538K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,611 | $499K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,656 | $27K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,440 | $50K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,656 | $42K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,656 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,656 | — |
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.