| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BAILEY & ASSOCIATES FINANCIAL3 Filed as: BAILEY & ASSOC FINANCIAL SRVCS | PO BOX 298 WACO, TX 76703 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 13.23% |
| BAILEY & ASSOCIATES FINANCIAL3 Filed as: BAILEY & ASSOC FINANCIAL SRVCS | PO BOX 298 WACO, TX 76703 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 13.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PROVIDENCE ADMINISTRATIVE SERVICES EIN 74-2883336 ADMINISTRATOR | Plan Administrator Service code 14 | PO BOX 700570 SAN ANTONIO, TX 78270 | $140K |
| BAILEY & ASSOCIATES FINANCIAL SVCS EIN 74-2423875 AGENT | Insurance brokerage commissions and fees Service code 53 | PO BOX 298 WACO, TX 76703 | $72K |
| S&S HEALTHCARE EIN 31-1418743 THIRD PARTY ADMIN | Plan Administrator Service code 14 | SANDSTECH/CIGNA 1385 KEMPER MEADOW DR CINCINNATI, OH 45204 | $69K |
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 | 331 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 331 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 331 | $24K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 83 | $41K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 331 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 331 | — |
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.