| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS, INC | 5605 GLENRIDGE DR. #500 ATLANTA, GA 30342 | NATIONWIDE LIFE INSURANCE | $26K | — | $26K | 9.64% |
| FRINGE INSURANCE BENEFITS, INC.3 Filed as: FRINGE INSURANCE BENEFITS, INC | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | NATIONWIDE LIFE INSURANCE | $20K | — | $20K | 7.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FRINGE INSURANCE BENEFITS, INC EIN 74-2616364 | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | $40K |
| MCGRIFF, SEIBELS & WILLIAMS, INC. | Insurance brokerage commissions and fees Service code 53 | 5605 GLENRIDGE DR. 500 ATLANTA, GA 30342 | $25K |
| FIRST HEALTH EIN 20-1736437 | Claims processing Service code 12 | 3200 HIGHLAND AVE DOWNERS GROVE, IL 60515 | $15K |
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 | 732 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 732 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NATIONWIDE LIFE INSURANCE | 732 | $266K |
| Life insurance | NATIONWIDE LIFE INSURANCE | 732 | $266K |
| Short-term disability | NATIONWIDE LIFE INSURANCE | 732 | $266K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE | 732 | $266K |
| Other | NATIONWIDE LIFE INSURANCE | 732 | $266K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 732 | — |
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.