| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 | 30 BRAINTREE HILL OFFICE PARK, 203 BRAINTREE, MA 02184 | HCC LIFE INSURANCE COMPANY | $19K | — | $19K | 9.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE EIN 36-2739571 NONE | Claims processing; Contract Administrator; Named fiduciary; Participant communication; Direct payment from the plan; Other services Service code 12 | 5901 LINCOLN DRIVE MINNEAPOLIS, MN 55436 | $117K |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 NONE | Consulting (general); Actuarial; Plan Administrator Service code 11 | P.O. BOX 1449 GOODLETTSVILLE, TN 37070 | $88K |
| ATLANTA CAPITAL MANAGEMENT EIN 58-2236910 NONE | Investment management Service code 28 | 1349 PEACHTREE ST. 1600 ATLANTA, GA 30309 | $20K |
| DANIELS, IRWIN & AYLOR EIN 62-1802605 NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST SUITE 112 MADISON, TN 37115 | $15K |
| GODWIN, MORRIS, LAURENZI & BLOOMFIE EIN 62-1371542 NONE | Legal Service code 29 | P.O. BOX 3290 MEMPHIS, TN 381730290 | $8K |
| VIVEKA HEALTH EIN 86-2467157 NONE | Other insurance fees and expenses Service code 73 | 12550 BISCAYNE BLVD 505 MIAMI, FL 33181 | $7K |
| FIRST HORIZON BANK NONE | Custodial (other than securities); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | P.O. BOX 84 MEMPHIS, TN 38101 | $6K |
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 | 250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 44 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | 5 STAR LIFE INSURANCE COMPANY | 294 | $31K |
| Prescription drug | LABOR FIRST LLC | 44 | $111K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 294 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 294 | — |
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.