| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, ME 02184 | HCC LIFE INSURANCE COMPANY | $79K | $0 | $79K | 16.41% |
| NELSEN INSURANCE CONSULTING INC3 Filed as: NELSEN INSURANCE CONSULTING | 1143 SHIPWATCH CIRCLE TAMPA, FL 33602 | HCC LIFE INSURANCE COMPANY | $3K | $0 | $3K | 0.55% |
| HJ KNIGHT INTERNATIONAL3 Filed as: H J KNIGHT INTERNATIONAL INS AGENCY | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, ME 02184 | HCC LIFE INSURANCE COMPANY | $806 | $0 | $806 | 0.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX INC EIN 33-0441200 PHARMACY BENEFIT MAN. | Float revenue; Other fees; Claims processing; Direct payment from the plan Service code 12 | 10835 N 25TH AVE PHOENIX, AZ 85029 | $866K |
| UMR INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 8550 UNITED PLAZA BLVD BATON ROUGE, LA 70809 | $73K |
| GULF STATES CONSULTANTS & ADM INC EIN 63-0836919 ADMINISTRATOR | Contract Administrator Service code 13 | 1717 OLD SHELL ROAD MOBILE, AL 366041323 | $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 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 | 330 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 330 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 330 | $482K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
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.