| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POPULAR RISK SERVICES, LLC3 | PO BOX 71390 SAN JUAN, PR 00936 | MCS LIFE INSURANCE COMPANY | $86K | — | $86K | 3.96% |
| CGF INSURANCE LLC3 | CAPARRA CENTER SUITE 200 GUAYNABO, PR 00969 | MCS LIFE INSURANCE COMPANY | — | $21K | $21K | 0.99% |
| POPULAR RISK SERVICES, LLC3 | PO BOX 71390 SAN JUAN, PR 00936 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $30K | — | $30K | 23.14% |
| CENTRAL GROUP INSURANCE AGENCY3 Filed as: CENTRAL GROUP INSURANCE AGENCY, INC | PO BOX 1868 DORADO, PR 00646 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 5.78% |
| INNOVA INSURANCE3 | PO BOX 299 MERCEDITA, PR 007150233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $247 | — | $247 | 0.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL PUERTO RICO | 255 AVE PONCE DE LEON STE 700 SAN JUAN, PR 00918 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $61 | $61 | 0.05% |
| POPULAR RISK SERVICES, LLC3 | PO BOX 71390 SAN JUAN, PR 00936 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $26K | — | $26K | 23.94% |
| CENTRAL GROUP INSURANCE AGENCY3 Filed as: CENTRAL GROUP INSURANCE AGENCY, INC | PO BOX 1868 DORADO, PR 00646 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 5.99% |
| INNOVA INSURANCE3 | PO BOX 299 MERCEDITA, PR 007150299 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $217 | — | $217 | 0.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL PUERTO RICO | 255 AVE PONCE DE LEON STE 700 SAN JUAN, PR 00918 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $54 | $54 | 0.05% |
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 | 394 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 394 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MCS LIFE INSURANCE COMPANY | 333 | $2.2M |
| Dental | MCS LIFE INSURANCE COMPANY | 333 | $2.2M |
| Vision | MCS LIFE INSURANCE COMPANY | 333 | $2.2M |
| Life insurance(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 394 | $2.3M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 394 | $128K |
| Prescription drug | MCS LIFE INSURANCE COMPANY | 333 | $2.2M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 394 | $110K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 394 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.