| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC Filed as: STEALTH PARTNER GROUP | 18940 N PIMA ROAD STE 210 SCOTTSDALE, AZ 85255 | COMPANION LIFE INS CO. | — | $69K | $69K | 7.00% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF CONSULTING INC. | 2033 N MAIN STREET SUITE 700 WALNUT CREEK, CA 94596 | AETNA LIFE INSURANCE COMPANY | $79K | — | $79K | 14.01% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | PO BOX 632886 CINCINNATI, OH 45263 | AETNA LIFE INSURANCE COMPANY | $23K | — | $23K | 4.07% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 165 BROADWAY SUITE 3201 NEW YORK, NY 10006 | NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH PA | $2K | — | $2K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENICOMP, INC. EIN 35-1815127 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $1.6M |
| EXPRESS SCRIPTS EIN 43-1420563 PRESCRIPTION ADMIN | Claims processing; Contract Administrator Service code 12 | — | $398K |
| ALLEGIANCE BENEFIT PLAN MGMT, INC. EIN 81-0400550 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing; Float revenue Service code 12 | — | $328K |
| SUNLIFE ASSURANCE COMPANY OF CANADA EIN 38-1082080 BENEFIT ADMINISTRATOR | Contract Administrator Service code 13 | — | $120K |
| DELTA DENTAL OF OHIO EIN 31-0685339 BENEFIT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $87K |
| ALLEGIANCE COBRA SERVICES, INC. EIN 71-0916514 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $22K |
| ALLEGIANCE CARE MANAGEMENT, INC. EIN 03-0507057 BENEFIT ADMINISTRATOR | Contract Administrator Service code 13 | — | $158 |
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 | 2,048 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,085 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE | 4,037 | $152K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,489 | $1.5M |
| Short-term disability | SUN LIFE AND HEALTH INSURANCE COMPANY | 15 | $6K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,489 | $1.5M |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INS CO. | 2,048 | $981K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,489 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,037 | — |
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.