| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.5 | P.O. BOX 71120 BOSSIER CITY, LA 71171 | 6 DEGREES HEALTH | $2K | — | $2K | 18.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| IMA, INC. EIN 72-0950191 CONTRACT | Claims processing; Contract Administrator Service code 12 | P.O. BOX 71120 BOSSIER CITY, LA 71171 | $21K |
| SASSER DIRECT PRIMARY CARE CONTRACT | Other services Service code 49 | 4720 BLUEBONNET BOULEVARD, STE B BATON ROUGE, LA 70809 | $21K |
| VIEUX CARE METAIRIE CONTRACT | Other services Service code 49 | 3100 GALLERIA DR., STE 302 METAIRIE, LA 70001 | $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 | 106 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SKYWARD SPECIALTY INSURANCE | 106 | $39K |
| Prescription drug | SKYWARD SPECIALTY INSURANCE | 106 | $39K |
| Stop-loss / reinsurancereinsurance | SKYWARD SPECIALTY INSURANCE | 106 | $39K |
| Other | MEDICAL HELPLINE | 106 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.