| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MATTHEW BRANDES | HEALTHSMART BENEFITS SOLUTIONS INC 222 WEST LAS COLINAS BLVD, STE 600N IRVING, TX 75039 | NATIONWIDE LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF GA EIN 58-1638390 VENDOR | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $385K |
| HEALTHSMART EIN 75-2960859 NONE | Other fees; Claims processing Service code 12 | — | $260K |
| SPECTRA EIN 52-1260282 VENDOR | Contract Administrator Service code 13 | — | $142K |
| HEALTHCARE STRATEGIES EIN 52-1874471 NONE | Other fees Service code 99 | — | $46K |
| DELTA DENTAL EIN 31-0685339 VENDOR | Claims processing Service code 12 | — | $40K |
| COMPSYCH EIN 36-3739783 VENDOR | Claims processing Service code 12 | — | $31K |
| CAREMARK EIN 95-3382344 VENDOR | Claims processing Service code 12 | — | $19K |
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 | 1,103 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NATIONWIDE LIFE INSURANCE COMPANY | 1,121 | $283K |
| Dental | NATIONWIDE LIFE INSURANCE COMPANY | 1,121 | $283K |
| Vision | NATIONWIDE LIFE INSURANCE COMPANY | 1,121 | $283K |
| Prescription drug | NATIONWIDE LIFE INSURANCE COMPANY | 1,121 | $283K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE COMPANY | 1,121 | $283K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,121 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.