| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK, MARAN AND ASSOCIATES, INC. | 461 PANTIGO RD EAST HAMPTON, NY 11937 | HEALTHY ALLIANCE LIFE INSURANCE CO. | $46K | $0 | $46K | 5.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK, MARAN AND ASSOCIATES, INC. | 461 PANTIGO RD EAST HAMPTON, NY 11937 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $377 | $4K | 22.53% |
| NATIONAL FINANCIAL NETWORK, LLC0 | — | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $43 | $0 | $43 | 0.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTERFLEX PAYMENTS, LLC EIN 27-2256926 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $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 | 131 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHY ALLIANCE LIFE INSURANCE CO. | 105 | $883K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 130 | $19K |
| Life insurance | HEALTHY ALLIANCE LIFE INSURANCE CO. | 105 | $883K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 130 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.
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.