| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIED BENEFIT SYSTEMS, LLC5 Filed as: ALLIED BENEFIT SYSTEMS, INC. | 200 W. ADAMS ST. STE 500 CHICAGO, IL 60606 | FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | $61K | — | $61K | 19.38% |
| MERITAIN HEALTH0 Filed as: AETNA LIFE INSURANCE COMPANY | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | $39K | — | $39K | 12.26% |
| SHORT BENEFITS3 | 5773 WOODWAY SUITE 144 HOUSTON, TX 77057 | FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | $24K | — | $24K | 7.60% |
| HEALTHSURE INSURANCE SERVICES3 | 5900 SOUTHWEST PKWY BLDG 2, STE 200 AUSTIN, TX 78735 | FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | $16K | — | $16K | 5.06% |
| FAIR AMERICAN INSURANCE AND REINSUR0 | ONE LIBERTY PLAZA, 165 BROADWAY NEW YORK, NY 10006 | FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | $6K | — | $6K | 2.00% |
| RXBENEFITS, INC.0 | 3700 COLONNADE PKWY, STE 600 BIRMINGHAM, AL 35243 | RXBENEFITS, INC. | — | $4K | $4K | — |
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 | 219 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 219 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | 219 | $316K |
| Prescription drug | RXBENEFITS, INC. | 216 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 219 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.