| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE, INC. | 9100 KEYSTONE CROSSING SUITE 550 INDIANAPOLIS, IN 462402161 | HEALTH CARE SERVICE CORPORATION | $47K | $2 | $47K | 1.68% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 414 GALLIMORE DAIRY SUITE GREENBORO, NC 274099693 | HEALTH CARE SERVICE CORPORATION | $34K | $1 | $34K | 1.22% |
| IL PRODUCER NO CREDENTIALS-GROUP0 | FINANCIAL SERVICES - COMM 1001 E. LOOKOUT DRIVE A-0 RICHARDSON, TX 75082 | HEALTH CARE SERVICE CORPORATION | $203 | $1 | $204 | 0.01% |
| MIDWEST TRANSPORT, INC.0 | 11385 N. TRIMBLE ROAD ROBINSON, IL 624547206 | HEALTH CARE SERVICE CORPORATION | — | $7 | $7 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 896620 CHARLOTTE, NC 282896620 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 10.00% |
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 | 523 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 523 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 471 | $2.8M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 532 | $100K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 532 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 532 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.