| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IPS ADVISORS3 Filed as: IPS ADVISORS, INC. | 10000 N CENTRAL EXPWY SUITE 1100 DALLAS, TX 75231 | KAISER FOUNDATION HEALTH PLAN, INC. | $46K | — | $46K | 4.98% |
| IPS ADVISORS3 Filed as: IPS ADVISORS, INC. | 10000 N CENTRAL EXPWY SUITE 1100 DALLAS, TX 75231 | AETNA LIFE INSURANCE COMPANY | $50K | $7K | $57K | 17.88% |
| IPS ADVISORS3 Filed as: IPS ADVISORS, INC. | 10000 N CENTRAL EXPWY SUITE 1100 DALLAS, TX 75231 | KAISER FOUNDATION HEALTH PLAN, INC. | $13K | — | $13K | 4.88% |
| VISION SERVICE PLAN3 Filed as: VISION SERVICES PLAN | — | VISION SERVICES PLAN | — | $37K | $37K | 22.50% |
| IPS ADVISORS3 Filed as: IPS ADVISORS, INC. | 10000 N CENTRAL EXPWY SUITE 1100 DALLAS, TX 75231 | VISION SERVICES PLAN | $12K | — | $12K | 7.00% |
| IPS ADVISORS3 Filed as: IPS ADVISORS, INC. | 10000 N CENTRAL EXPWY SUITE 1100 DALLAS, TX 75231 | AETNA LIFE INSURANCE COMPANY | $8K | — | $8K | 16.10% |
| MERITAIN HEALTH3 Filed as: AETNA LIFE INSURANCE COMPANY | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | AETNA LIFE INSURANCE COMPANY | — | $928K | $928K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $928K |
| IPS ADVISORS, INC. CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 10000 N CENTRAL EXPWY SUITE 1100 DALLAS, TX 75231 | $129K |
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 | 1,885 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,885 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,718 | $1.2M |
| Vision | VISION SERVICES PLAN | 1,456 | $167K |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 1,885 | $319K |
| Other | AETNA LIFE INSURANCE COMPANY | 1,291 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,885 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.