| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOARD, JOHN B3 | 99 WOOD AVE SOUTH STE 501 ISELIN, NJ 08830 | HUMANA INSURANCE COMPANY | $9K | — | $9K | 6.52% |
| USI INSURANCE SERVICES LLC3 | 333 BRIDGE ST NW STE 400 GRAND RAPIDS, MI 49504 | HUMANA INSURANCE COMPANY | $5K | — | $5K | 3.43% |
| REYNOLDS, CONSTANCE D3 | 333 BRIDGE ST NW STE 400 GRAND RAPIDS, MI 49504 | HUMANA INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| HOARD, JOHN B3 | 99 WOOD AVE SOUTH STE 501 ISELIN, NJ 08830 | COMPBENEFITS | $1K | — | $1K | 6.65% |
| USI INSURANCE SERVICES LLC3 | 333 BRIDGE ST NW STE 400 GRAND RAPIDS, MI 49504 | COMPBENEFITS | $652 | — | $652 | 3.33% |
| REYNOLDS, CONSTANCE D3 | 333 BRIDGE ST NW STE 400 GRAND RAPIDS, MI 49504 | COMPBENEFITS | $1 | — | $1 | 0.01% |
| U S B HEALTH LLC3 | 4550 STATE HWY 360 STE 190 GRAPEVINE, TX 76051 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $35K | $35K | — |
| JOHN B HOARD3 | PO BOX 13566 TALLAHASSEE, FL 32317 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $26K | — | $26K | — |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $9K | — | $9K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 | Contract Administrator; Claims processing Service code 12 | PO BOX 44347 MADISON, WI 53744 | $7K |
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 | 432 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 436 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 225 | $160K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 443 | $0 |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 443 | $0 |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 443 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 443 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.