| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2700 POST OAK BLVD, 25TH FLOOR HOUSTON, TX 77056 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $69K | — | $69K | 2.34% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1401 WILLOW PASS ROAD, STE 850 CONCORD, CA 94520 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $12K | $0 | $12K | 4.86% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 S. GRAND AVENUE, STE 4500 LOS ANGELES, CA 90071 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $8K | — | $8K | 4.14% |
| ASCENDE, INC.3 Filed as: ASCENDE, INC | 2700 POST OAK BLVD HOUSTON, TX 77056 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $6K | — | $6K | 3.40% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | EPIC WEST ED DB BOX 102159 LOS ANGELES, CA 90065 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 1.65% |
| ASCENDE, INC.3 Filed as: ASCENDE, INC | 2700 POST OAK BLVD HOUSTON, TX 77056 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 0.83% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 S. GRAND AVENUE, STE 4500 LOS ANGELES, CA 90071 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $32 | — | $32 | 5.95% |
| ASCENDE, INC.3 Filed as: ASCENDE, INC | 2700 POST OAK BLVD HOUSTON, TX 77056 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $12 | — | $12 | 2.23% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | EPIC WEST ED DB BOX 102159 LOS ANGELES, CA 90065 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $12 | — | $12 | 2.23% |
| ASCENDE, INC.3 Filed as: ASCENDE, INC | 2700 POST OAK BLVD HOUSTON, TX 77056 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $6 | — | $6 | 1.12% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTHCARE EIN 58-1638390 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing; Insurance brokerage commissions and fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Insurance agents and brokers; Other commissions; Float revenue; Other fees Service code 12 | — | $580K |
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 | 1,271 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 46 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,317 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 735 | $3.2M |
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 2,880 | $190K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,880 | — |
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.