| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP BENEFIT SYSTEMS INC3 Filed as: GROUP BENEFIT SYSTEMS, INC | PO BOX 158548 NASHVILLE, TN 37215 | PRUDENTIAL | $3K | — | $3K | 10.00% |
| GROUP BENEFIT SYSTEMS INC3 | PO BOX 158548 NASHVILLE, TN 37215 | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 18.44% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GROUP BENEFIT SYSTEMS, INC. EIN 62-1020448 INSURANCE BROKER | Insurance agents and brokers Service code 22 | PO BOX 158548 NASHVILLE, TN 37215 | $54K |
| LUCENT HEALTH SOLUTIONS, LLC EIN 39-1997579 TPA | Plan Administrator Service code 14 | 1826 ELM HILL PIKE NASHVILLE, TN 37210 | $46K |
| CIGNA EIN 82-4991898 PROVIDER NETWORK | Insurance services Service code 23 | PO BOX 645014 CINCINNATI, OH 452645014 | $23K |
| NARUS HEALTH INC. EIN 47-1929604 MEDICAL PLAN SERVICES | Insurance services Service code 23 | 424 CHURCH STREET SUITE 2300 NASHVILLE, TN 37219 | $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 | 124 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL | 125 | $38K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE COMPANY | 125 | $276K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.