| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 | 5850 WATERLOO ROAD, SUITE 240 COLUMBIA, MD 210451943 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | $10K | $24K | 9.94% |
| GROUP ADMINISTRATIVE CONCEPTS3 | 10006 N. DALE MABRY HIGHWAY SUITE 106 TAMPA, FL 33618 | EXPRESS SCRIPTS INC. | $3K | — | $3K | 4.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTEGRA EMPLOYER HEALTH, LLC EIN 56-1392505 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $79K |
| STRATEBEN, INC. EIN 20-1643248 PLAN CONSULTANT | Consulting (general) Service code 16 | — | $69K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 20-8764829 NONE | Securities brokerage; Other services; Securities brokerage commissions and fees; Custodial (securities); Other fees; Investment advisory (plan); Direct payment from the plan; Other investment fees and expenses Service code 19 | — | $32K |
| CURTIS BLAKELY & CO INC. EIN 75-1545734 NONE | Accounting (including auditing) Service code 10 | — | $16K |
| PHCS EIN 04-3138814 PPO PROVIDER | Contract Administrator Service code 13 | — | $9K |
| RETIREMENT HORIZONS INC. EIN 76-0551734 NONE | Actuarial Service code 11 | — | $6K |
| SAGE ADVISORY SERVICES LTD EIN 74-2798841 NONE | Investment management fees paid directly by plan Service code 51 | — | $3K |
| ABBEY CAPITAL FUNDS EIN 39-0281260 NONE | Other fees; Other services Service code 49 | — | $0 |
| ALLIANZ INVESTORS EIN 06-1349805 NONE | Other services; Other fees Service code 49 | — | $0 |
| BROOKFIELD INVESTMENT FUNDS EIN 39-1982827 NONE | Other fees; Other services Service code 49 | — | $0 |
| INVESCO FUNDS EIN 58-2287224 NONE | Other services; Other fees Service code 49 | — | $0 |
| LOCORR FUNDS EIN 39-1982827 NONE | Other services; Other fees Service code 49 | — | $0 |
| MORGAN STANLEY BANK N.A. EIN 36-3707380 NONE | Securities brokerage; Other services; Other commissions Service code 33 | — | $0 |
| MORGAN STANLEY PRIVATE BANK NA EIN 22-3458456 NONE | Other services; Other commissions; Securities brokerage Service code 33 | — | $0 |
| OAKMARK FUNDS EIN 52-2257882 NONE | Other services; Other fees Service code 49 | — | $0 |
| OPPENHEIMER FUNDS MLP EIN 13-2527171 NONE | Other fees; Other services Service code 49 | — | $0 |
| PGIM INVESTMENTS EIN 22-3468527 NONE | Other services; Other fees Service code 49 | — | $0 |
| PIMCO INSTITUTIONAL FUNDS EIN 95-2632339 NONE | Other services; Other fees Service code 49 | — | $0 |
| THORNBURG FUNDS EIN 06-1158764 NONE | Other fees; Other services Service code 49 | — | $0 |
| TOUCHSTONE FUNDS EIN 31-0487145 NONE | Other fees; Other services Service code 49 | — | $0 |
| VIRTUS EMERGING MARKET EIN 95-4191764 NONE | Other services; Other fees Service code 49 | — | $0 |
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 | 195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 135 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 330 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $246K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $246K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $246K |
| Prescription drug | EXPRESS SCRIPTS INC. | 31 | $71K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE | 215 | $542K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.