| 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 | $8K | — | $8K | 14.63% |
| BAILEY & ASSOCIATES FINANCIAL3 | PO BOX 298 WACO, TX 76703 | STARMOUNT LIFE INSURANCE COMPANY | $2K | — | $2K | 12.00% |
| BAILEY & ASSOCIATES FINANCIAL3 | PO BOX 298 WACO, TX 76703 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 41.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PROVIDENCE ADMINISTRATIVE SERVICES EIN 74-2883336 ADMINISTRATOR | Plan Administrator Service code 14 | PO BOX 700570 SAN ANTONIO, TX 78270 | $128K |
| S&S HEALTHCARE EIN 31-1418743 THIRD PARTY ADMIN | Plan Administrator Service code 14 | SANDSTECH/CIGNA 1385 KEMPER MEADOW DR CINCINNATI, OH 45204 | $78K |
| BAILEY & ASSOCIATES FINANCIAL SVCS EIN 74-2423875 AGENT | Insurance brokerage commissions and fees Service code 53 | PO BOX 298 WACO, TX 76703 | $44K |
| BENADMIN EIN 82-1578569 ADMINISTRATOR | Plan Administrator Service code 14 | MD-LIVE, INC. 4746 SOUTH 900 EAST #210 SALT LAKE CITY, UT 84117 | $7K |
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 | 292 | 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) | 292 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 166 | $19K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 278 | $11K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 97 | $54K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 278 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.