| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRILOGY PURCHASING ALLIANCE LLC3 Filed as: TRILOGY PURCHASING ALLIANCE, LLC | PO BOX 1363 GUTHRIE, OK 73044 | DELTA DENTAL | $2K | $30K | $32K | 7.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KEMPTON GROUP ADMINISTRATORS EIN 73-1201547 NONE | Contract Administrator Service code 13 | P.O. BOX 54889 OKLAHOMA CITY, OK 731541889 | $288K |
| HEALTHCARE HIGHWAYS EIN 36-4827148 NONE | Claims processing Service code 12 | 1 COWBOY WAY, SUITE 290 FRISCO, TX 75034 | $112K |
| SCRIPT CARE, LTD EIN 76-0621375 NONE | Claims processing Service code 12 | PO BOX 4356, DEPT 2262 HOUSTON, TX 77210 | $41K |
| COMPASS EIN 46-2047081 NONE | Claims processing Service code 12 | 5800 GRANITE PARKWAY STE 450 PLANO, TX 75024 | $36K |
| MEDCOM CARE MANAGEMENT, INC. EIN 72-1339762 NONE | Claims processing Service code 12 | — | $18K |
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 | 397 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 397 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 644 | $405K |
| Stop-loss / reinsurancereinsurance | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 397 | $823K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 644 | — |
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.