| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EWI RE INC3 | THREE LINCOLN CENTRE 5430 LBJ FREEWAY, STE. 1595 DALLAS, TX 75240 | SUN LIFE ASSURANCE OF CANADA | — | $67K | $67K | 9.16% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH BENEFIT SOLUTIONSLLC | DBA STEALTH PARTNER GROUP 18940 N PIMA ROAD SUITE 210 SCOTSDALE, AZ 85255 | SUN LIFE ASSURANCE OF CANADA | — | $56K | $56K | 7.67% |
| UMR, INC.3 Filed as: UMR | 5151 PFEIFFER ROAD ML 400 PFEIFFER WOODS CINCINNATI, OH 45242 | SUN LIFE ASSURANCE OF CANADA | — | $5K | $5K | 0.65% |
| XCORP NO. 5566103 | SUITE 204 2250 E. 73RD STREET TULSA, OK 74136 | SECURITY LIFE OF DENVER INSURANCE COMPANY, DENVER CO | $14K | — | $14K | 2.21% |
| PATRICK BAINES / THE BROWNING GROUP3 | SUITE 187 2 INVERNESS DR. E GREENWOOD VILLAGE, CO 801125507 | SECURITY LIFE OF DENVER INSURANCE COMPANY, DENVER CO | $14K | — | $14K | 2.16% |
| EWI RE INC3 Filed as: EWI RE | THREE LINCOLN CENTRE 5430 LBJ FREEWAY, SUITE 1595 DALLAS, TX 75240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $13K | — | $13K | 17.00% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH BENEFIT SOLUTIONS LLC | 18940 N PIMA ROAD SUITE 210 SCOTTSDALE, AZ 85255 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $8K | $8K | 9.68% |
| GEORGE F. BASHAW JR.3 | 2250 E 73RD ST STE 400 TULSA, OK 74136 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 8.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | UMR, INC. PO BOX 1087 WAUSSAU, WI 544021087 | $186K |
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 | 309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNITED HEALTHCARE INSURANCE | 100 | $27K |
| Life insurance(2 contracts, 2 carriers) | SECURITY LIFE OF DENVER INSURANCE COMPANY, DENVER CO | 322 | $657K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 321 | $78K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE OF CANADA | 318 | $736K |
| Other | NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURG, PA | 660 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 660 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.