| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ASSISTANCE CORPORATION3 Filed as: BENEFIT ASSISTANCE COMPANY | — | NATIONWIDE INSURANCE CO | $132K | — | $132K | 22.36% |
| MAINSTREET3 | — | NATIONWIDE INSURANCE CO | $74K | — | $74K | 12.52% |
| CIGNA3 | — | NATIONWIDE INSURANCE CO | $47K | — | $47K | 7.96% |
| MEDWATCH LLC3 Filed as: MEDWATCH, LLC | — | NATIONWIDE INSURANCE CO | $5K | — | $5K | 0.81% |
| METAVANTE3 | — | NATIONWIDE INSURANCE CO | $1K | — | $1K | 0.19% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WEST VIRGINIA | 340 MACCORKLE AVE SE STE 200 CHARLESTON, WV 25314 | PRINCIPAL LIFE INSURANCE COMPANY | $20K | $12K | $33K | 11.00% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 10 N PARK DR STE 200 HUNT VALLEY, MD 21030 | PRINCIPAL LIFE INSURANCE COMPANY | — | $9K | $9K | 2.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ASSITANCE COMPANY EIN 55-0715869 ADMIN SERVICES | Other fees Service code 99 | — | $132K |
| MAINSTREET EIN 82-0686267 | Other fees Service code 99 | — | $74K |
| CIGNA EIN 59-1031071 | Other fees Service code 99 | — | $47K |
| MEDWATCH, LLC EIN 59-3325519 UR FEES | Other fees Service code 99 | — | $5K |
| METAVANTE EIN 38-3261866 | Other fees Service code 99 | — | $1K |
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 | 346 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 346 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 510 | $297K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 510 | $297K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 510 | $297K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 510 | $297K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 510 | $297K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE INSURANCE CO | 204 | $592K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 510 | — |
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.