| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HJ KNIGHT INTERNATIONAL3 Filed as: H J KNIGHT INTERNATIONAL INS AGENCY | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | HCC LIFE INSURANCE COMPANY | $44K | — | $44K | 9.22% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND LLC | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | HCC LIFE INSURANCE COMPANY | $38K | — | $38K | 7.91% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX INC EIN 33-0441200 PHARMACY BENEFIT MGT | Direct payment from the plan; Float revenue; Claims processing; Other fees Service code 12 | 10835 N 25TH AVE PHOENIX, AZ 85029 | $630K |
| UMR INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 8550 UNITED PLAZA BLVD BATON ROUGE, LA 70809 | $101K |
| GULF STATES CONSULTANTS & ADM INC EIN 63-0836919 ADMINISTRATOR | Contract Administrator Service code 13 | 1717 OLD SHELL ROAD MOBILE, AL 36604 | $60K |
| KALIFEH BEDSOLE ADAMS PC EIN 63-1134001 AUDITOR | Accounting (including auditing) Service code 10 | 3224 EXECUTIVE PARK CIRCLE MOBILE, AL 36606 | $11K |
| SOUTHERN ACTUARIAL SERVICES INC EIN 64-6035381 ACTUARY | Actuarial Service code 11 | P.O. BOX 888343 ATLANTA, GA 30356 | $5K |
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 | 382 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 382 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 382 | $482K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 382 | — |
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.