| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CIGNA3 Filed as: CIGNA HEALTH AND LIFE INSURANCE CO | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $168K | $168K | 48.37% |
| FINANCIAL CONCEPTS OF AMERICA, INC.3 Filed as: FINANCIAL CONCEPTS OF AMERICA | 5253 HILLSDEN DR SALT LAKE CITY, UT 84117 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $76K | — | $76K | 21.89% |
| MCDERMOTT COMPANY & ASSOCIATES3 Filed as: MCDERMOTT COMPANY & ASSOC | 883 WEST BAXTER DR SOUTH JORDAN, UT 84095 | HARTFORD LIFE AND ACCIDENT | $13K | — | $13K | 11.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 INSURANCE CARRIER | Contract Administrator; Plan Administrator; Claims processing Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $135K |
| AMERICAN SPECIALTY HEALTH(ASH) EIN 33-0571188 VENDOR | Participant communication; Float revenue; Claims processing; Non-monetary compensation; Contract Administrator; Named fiduciary; Other services; Direct payment from the plan Service code 12 | 10221 WATERIDGE CIR 201 SAN DIEGO, CA 92121 | $0 |
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 | 287 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 287 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 211 | $347K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 211 | $347K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 287 | $114K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 287 | $114K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 287 | $114K |
| Other | HARTFORD LIFE AND ACCIDENT | 287 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.