| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CGF INSURANCE LLC3 | CAPARRA OFFICE CENTER SUITE 200 GUAYNABO, PR 00968 | MCS LIFE INSURANCE COMPANY | $6.7M | $250K | $7.0M | 103.71% |
| OLYMPIC AGENCY INC3 | PMB 370 1353 CARR 19 GUAYNABO, PR 00966 | MCS LIFE INSURANCE COMPANY | $6.7M | $117K | $6.9M | 101.73% |
| CGF INSURANCE LLC3 Filed as: CGF INSURANCE | 22 AVENIDA GONZALEZ GIUSTI CAPARRA OFFICE CENTER STE 200 GUAYNABO, PR 00966 | TRIPLE S SALUD INC | $6.6M | $178K | $6.8M | 102.71% |
| OLYMPIC AGENCY INC3 Filed as: OLYMPIC AGENCY, INC. | PMB 370 1353 CARR 19 GUAYNABO, PR 00966 | TRIPLE S SALUD INC | $6.6M | $178K | $6.8M | 102.71% |
| CGF INSURANCE LLC3 | 22 AVENIDA GONZALEZ GIUSTI CAPARRA OFFICE CENTER STE 200 GUAYNABO, PR 00968 | FIRST MEDICAL HEALTH PLAN, INC. | $3.1M | $83K | $3.2M | 102.63% |
| CGF INSURANCE LLC3 Filed as: CGF INSURANCE | 22 AVENIDA GONZALEZ GIUSTI CAPARRA OFFICE CENTER STE 200 GUAYNABO, PR 00966 | DELTA DENTAL OF PUERTO RICO INC | $728K | $22K | $750K | 103.00% |
No Schedule C service providers reported on this filing.
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 | 2,377 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 49 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,426 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | MCS LIFE INSURANCE COMPANY | 974 | $16.5M |
| Dental(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 2,354 | $7.5M |
| Vision | FIRST MEDICAL HEALTH PLAN, INC. | 478 | $3.1M |
| Life insurance | MCS LIFE INSURANCE COMPANY | 974 | $6.7M |
| Prescription drug(3 contracts, 3 carriers) | MCS LIFE INSURANCE COMPANY | 974 | $16.5M |
| Other | TRIPLE S SALUD INC | 925 | $6.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,354 | — |
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.