| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND4 Filed as: THE HILB GROUP OF NEW ENGLAND | 30 BRAINTREE HILL OFFICE PARK SUITE 203 BRAINTREE, MA 02184 | HCC LIFE INSURANCE | $9K | $4K | $14K | 7.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 NONE | Other services; Direct payment from the plan; Float revenue; Named fiduciary; Participant communication; Contract Administrator; Claims processing; Non-monetary compensation Service code 12 | 300 E RANDOLPH ST CHICAGO, IL 60601 | $120K |
| SOUTHERN BENEFIT ADMINISTRATORS INC NONE | Consulting (general); Plan Administrator; Actuarial Service code 11 | 2001 CALDWELL DRIVE GOODLETTSVILLE, TN 370701449 | $119K |
| DANIELS, IRWIN & AYLOR CPAS NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST, STE 112 MADISON, TN 37115 | $15K |
| REGIONS BANK EIN 63-0371391 NONE | Custodial (other than securities); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 201 MILAN PARKWAY, 2ND FL BIRMINGHAM, AL 35211 | $10K |
| ROBEIN URANN SPENCER PICARD CANGEMI NONE | Legal Service code 29 | 2540 SEVERN AVE, STE 400 504-885-9994 METAIRIE, LA 70002 | $9K |
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 | 187 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 38 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 225 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 226 | $51K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE | 226 | $184K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 226 | — |
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.