| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EPSI BENEFITS, INC.5 Filed as: EPSI BENEFITS INC | 2180 NORTH LOOP WEST HOUSTON, TX 77018 | HCC LIFE INSURANCE COMPANY | $75K | — | $75K | 15.00% |
| EPSI BENEFITS, INC.5 Filed as: EPSI BENEFITS INC | 2180 NORTH LOOP WEST HOUSTON, TX 77018 | BOSTON MUTUAL LIFE | $730 | — | $730 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPLOYER PLAN SERVICES, INC EIN 74-2124394 CONTRACT | Claims processing Service code 12 | 2180 NORTH LOOP WEST, SUITE 400 HOUSTON, TX 77018 | $59K |
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 | 242 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 242 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCC LIFE INSURANCE COMPANY | 242 | $503K |
| Dental | HCC LIFE INSURANCE COMPANY | 242 | $503K |
| Life insurance | BOSTON MUTUAL LIFE | 242 | $7K |
| Prescription drug | HCC LIFE INSURANCE COMPANY | 242 | $503K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 242 | $503K |
| Other(2 contracts, 2 carriers) | BOSTON MUTUAL LIFE | 242 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.