| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 600 HIGHWAY 168 SOUTH ST. LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE CO | $144K | — | $144K | 10.61% |
| COORDINATED PROGRAMS, INC3 | 3609 HENDRICKS AVE JACKSONVILLE, FL 32207 | STANDARD INSURANCE COMPANY | $36K | — | $36K | 10.73% |
| COORDINATED PROGRAMS, INC3 | 3609 HENDRICKS AVE JACKSONVILLE, FL 32207 | STANDARD INSURANCE COMPANY | $37K | — | $37K | 15.79% |
| COORDINATED PROGRAMS, INC3 | 3609 HENDRICKS AVE JACKSONVILLE, FL 32207 | STANDARD INSURANCE COMPANY | $20K | — | $20K | 10.76% |
| WELLS FARGO INSURANCE SERVICES Filed as: WELLS FARGO INSURANCE SERVICES USA | 600 HIGHWAY 168 SOUTH, SUITE 1200 ST. LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE CO | $5 | — | $5 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $667K |
| THE GRIGGS GROUP, PA-DBA PIVOT,CPAS EIN 20-0708248 | Accounting (including auditing) Service code 10 | 238 PONTE VEDRA PARK DRIVE, STE 201 PONTE VEDRA BEACH, FL 32082 | $14K |
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 | 1,708 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,708 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 1,062 | $1.4M |
| Dental | AETNA LIFE INSURANCE CO | 1,062 | $1.4M |
| Vision | AETNA LIFE INSURANCE CO | 1,708 | $88K |
| Life insurance | STANDARD INSURANCE COMPANY | 1,489 | $332K |
| Short-term disability | STANDARD INSURANCE COMPANY | 632 | $187K |
| Long-term disability | STANDARD INSURANCE COMPANY | 1,157 | $236K |
| Prescription drug | AETNA LIFE INSURANCE CO | 1,062 | $1.4M |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE CO | 1,062 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,708 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.