| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC.3 | P O BOX 1309 MUSKOGEE, OK 74402 | COMPANION LIFE | $12K | — | $12K | — |
| BEACON FINANCIAL GROUP3 | 3 JARROD DRIVE BELLA VISTA, AR 72714 | COMPANION LIFE | $8K | — | $8K | — |
| GORDON W. FLEMING3 | P O BOX 5097 BELLA VISTA, AR 72714 | GUARDIAN | $5K | — | $5K | — |
| ASHFORD MID SOUTH LLC3 | 6060 PRIMACY PARKWAY MEMPHIS, TN 38119 | GUARDIAN | $29 | — | $29 | — |
| HEALTHCARE SOLUTIONS GROUP, INC.3 | PO BOX 1309 MUSKOGEE, OK 74402 | COMPANION LIFE | $3K | — | $3K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP EIN 73-1478844 | Claims processing Service code 12 | — | $17K |
| S & S HEALTHCARE STRATEGIES EIN 31-1418743 | Claims processing Service code 12 | — | $7K |
| CIGNA HEALTH & LIFE INSURANCE EIN 59-1031071 | Claims processing Service code 12 | — | $6K |
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 | 90 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 90 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE | 70 | $0 |
| Life insurance | COMPANION LIFE | 90 | $0 |
| Short-term disability | GUARDIAN | 70 | $0 |
| Long-term disability | GUARDIAN | 70 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 90 | — |
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.