| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FRANCISCO J FIGUEROA RIVERA3 | BAYAMON GARDENS CALLE 18 F-6 BAYAMON, PR 00957 | HUMANA INSURANCE OF PUERTO RICO, INC. | $28K | $0 | $28K | 4.79% |
| JOSE E GANDIA MORALES3 | PO BOX 2468 SAN JUAN, PR 009602468 | HUMANA INSURANCE OF PUERTO RICO, INC. | $26K | $0 | $26K | 4.38% |
| FRANCISCO J FIGUEROA RIVERA3 | BAYAMON GARDENS CALLE 18 F-6 BAYAMON, PR 00957 | DELTA DENTAL OF PUERTO RICO, INC. | $1K | $0 | $1K | 4.00% |
| JOSE E GANDIA MORALES3 | PO BOX 2468 BAYAMON, PR 009602468 | DELTA DENTAL OF PUERTO RICO, INC. | $1K | $0 | $1K | 4.00% |
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 | 116 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE OF PUERTO RICO, INC. | 106 | $593K |
| Dental | DELTA DENTAL OF PUERTO RICO, INC. | 113 | $33K |
| Life insurance | HUMANA INSURANCE OF PUERTO RICO, INC. | 106 | $593K |
| Prescription drug | HUMANA INSURANCE OF PUERTO RICO, INC. | 106 | $593K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 113 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.