| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 921018101 | PRINCIPAL LIFE INSURANCE COMPANY | $105K | $7K | $111K | 10.63% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 32 OLD SLIP NEW YORK, NY 10005 | SUN LIFE ASSURANCE COMPANY OF CANADA | $104K | — | $104K | 14.37% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | SUN LIFE ASSURANCE COMPANY OF CANADA | $42K | — | $42K | 5.75% |
| GROUP & PENSION ADMINISTRATORS INC3 | 12770 MERIT DR 2ND FLOOR DALLAS, TX 75251 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $9K | $9K | 1.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 ADMINISTRATIVE AGREEMENT | Direct payment from the plan; Claims processing; Other services; Named fiduciary; Participant communication; Contract Administrator; Non-monetary compensation; Float revenue Service code 12 | — | $629K |
| GROUP AND PENSION ADMINISTRATORS,IN EIN 75-1617587 CLAIMS PROCESSING | Claims processing Service code 12 | 12770 MERIT ROAD SUITE 200 DALLAS, TX 75251 | $415K |
| ALLIANT INSURANCE SERVICES BROKER COMMISSION | Insurance brokerage commissions and fees Service code 53 | 1125 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | $51K |
| CVS PHARMACY,INC EIN 05-0340626 CLAIMS PROCESSING | Claims processing Service code 12 | — | $8K |
| CIGNA | Other services; Claims processing; Float revenue; Participant communication; Named fiduciary; Non-monetary compensation; Contract Administrator; Direct payment from the plan Service code 12 | — | $0 |
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 | 1,800 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,818 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 1,408 | $1.0M |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 1,408 | $1.0M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 1,408 | $1.0M |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,408 | $1.0M |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,408 | $1.0M |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,342 | $724K |
| Other | MAGELLAN BEHAVIORAL HEALTH INC. | 1,800 | $96K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,800 | — |
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.