| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VISION SERVICE PLAN | 16850 SATURN LANE HOUSTON, TX 77058 | VISION SERVICE PLAN | — | $38K | $38K | 18.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH ADMINISTRATORS EIN 52-1590516 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | — | $508K |
| JOHN CODY EIN 74-6063911 COORDINATOR | Contract Administrator Service code 13 | — | $125K |
| SEGAL COMPANY EIN 94-1503999 CONSULTANT | Consulting (pension) Service code 17 | — | $78K |
| HARPER & PEARSON COMPANY, PC EIN 74-1695589 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $74K |
| OPPENHEIMER & CO, INC EIN 13-5657518 CONSULTANT | Investment advisory (plan) Service code 27 | — | $47K |
| LETICIA BENAVIDES EIN 74-6063911 SECRETARY | Contract Administrator Service code 13 | — | $46K |
| BAKER & BOTTS EIN 74-1195457 ATTORNEY | Legal Service code 29 | — | $37K |
| FREEDMAN & PRICE EIN 74-2048960 ATTORNEY | Legal Service code 29 | — | $24K |
| US BANK EIN 13-3379002 BANK FEES | Other fees Service code 99 | — | $16K |
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 | 2,010 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,010 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 2,013 | $15.9M |
| Dental | CIGNA HEATH & LIFE INSURANCE COMPANY | 1,943 | $543K |
| Vision | VISION SERVICE PLAN | 2,026 | $212K |
| Life insurance | UNION LABOR LIFE INSURANCE CO. | 2,013 | $452K |
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE CO. | 2,013 | $1.3M |
| Other | UNION LABOR LIFE INSURANCE CO. | 2,013 | $452K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,026 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.