| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD3 Filed as: SUN LIFE ASSURANCE COMPANY OF CANAD | P.O. BOX 7247-7184 PHILADELPHIA, PA 19170 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1.4M | — | $1.4M | 100.00% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD | 8191 COLLEGE PKWY SUITE 202 FT MYERS, FL 33919 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $16K | $16K | 1.13% |
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLEGE BLVD SUITE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $109K | — | $109K | 9.95% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCKLENNAN AGENCY LLC | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $34K | $34K | 3.07% |
| CHILD HEALTH CORP OF AMERICA | 16011 COLLEGE BLVD SUITE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $84K | — | $84K | 10.65% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $22K | $22K | 2.77% |
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLEGE BLVD SUITE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $68K | — | $68K | 10.37% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $18K | $18K | 2.82% |
| CHILD HEALTH CORPORATION OF AMERICA | 16011 COLLEGE BLVD SUITE 250 LENEXA, KS 66219 | UNITED HEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 4.45% |
No Schedule C service providers reported on this filing.
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 | 19,262 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 19,262 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,945 | $1.4M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,945 | $1.4M |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 2,330 | $285K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 2,617 | $655K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,684 | $1.1M |
| Other | HARTFORD LIFE AND ACCIDENT | 5,395 | $787K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,395 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.