| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CGF INSURANCE LLC3 | CAPARRA OFFICE CENTER SUITE 200 GUAYNABO, PR 00968 | MCS LIFE INSURANCE COMPANY | $404K | $12K | $416K | 102.97% |
| OLYMPIC AGENCY INC3 Filed as: OLYMPIC AGENCY, INC | PMB 370 1353 CARR. 19 GUAYNABO, PR 00966 | MCS LIFE INSURANCE COMPANY | $404K | $12K | $416K | 102.97% |
| CGF INSURANCE LLC3 | CAPARRA OFFICE CENTER SUITE 200 22 GONZALEZ GUISTI AVE. GUAYNABO, PR 00968 | FIRST MEDICAL HEALTH PLAN INC | $147K | $8K | $155K | 105.41% |
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 | 152 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 236 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 112 | $552K |
| Dental(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 112 | $552K |
| Vision | FIRST MEDICAL HEALTH PLAN INC | 40 | $147K |
| Life insurance(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 112 | $552K |
| Prescription drug(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 112 | $552K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 112 | — |
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.