| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY OF IOWA, INC | PO BOX 9207 DES MOINES, IA 503069207 | SYMETRA LIFE INSURANCE COMPANY | — | $10K | $10K | 2.50% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $6K | — | $6K | 2.97% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES, INC | PO BOX 441 DES MOINES, IA 50302 | CIGNA DENTAL HEALTH OF TEXAS, INC | $3K | — | $3K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF TEXAS EIN 36-1236610 CLAIMS PROCESSOR | Contract Administrator; Claims processing; Other services Service code 12 | — | $733K |
| HOLMES MURPHY & ASSOCIATES, LLC EIN 42-0985055 NONE | Accounting (including auditing); Other services; Insurance agents and brokers; Actuarial; Insurance services; Consulting (general) Service code 10 | — | $168K |
| SCOTT KIEDAISCH EIN 46-2713514 EMPLOYEE OF PLAN | Employee (plan) Service code 30 | — | $71K |
| TEXAS CHRISTIAN UNIVERSITY EIN 75-0827465 PLAN EMPLOYER PARTICIPANT | Accounting (including auditing); Custodial (other than securities); Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 10 | — | $61K |
| POLSINELLI, PC EIN 68-0589116 NONE | Legal Service code 29 | — | $46K |
| HEALTHCARE IMPACT ASSOCIATES, LLC EIN 46-1243269 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $36K |
| BEST DOCTORS, INC. EIN 04-2908444 NONE | Other services Service code 49 | — | $28K |
| LABYRINTH HEALTHCARE GROUP EIN 72-1492391 NONE | Other services Service code 49 | — | $24K |
| DISCOVERY BENEFITS EIN 90-0058554 NONE | Other services Service code 49 | — | $19K |
| BROWN, CHISM & THOMPSON, PLLC EIN 81-4498561 NONE | Accounting (including auditing) Service code 10 | — | $15K |
| TELADOC, INC EIN 04-3705970 NONE | Other services Service code 49 | — | $11K |
| MAGELLEN BEHAVORIAL HEALTH EIN 52-2135463 NONE | Other services Service code 49 | — | $10K |
| ELIZABETH ENTSMINGER EIN 47-9980394 NONE | Consulting (general); Other services Service code 16 | — | $9K |
| BLANCA DE LA SIERRA EIN 45-3958983 NONE | Consulting (general); Other services Service code 16 | — | $9K |
| BENEFITS TECHNOLOGY RESOURCES EIN 22-3974809 NONE | Other services; Consulting (general) Service code 16 | — | $7K |
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 | 596 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 615 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 486 | $243K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 614 | $399K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 614 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.