| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HERITAGE CORPORATE BENEFITS3 | 2487 CEDARCREST RD SUITE 122 ACWORTH, GA 30101 | CIGNA HEALTH AND LIFE INSURANCE | $12K | $63K | $75K | 3.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | P.O. BOX 6650 METRAIRE, LA 70009 | CIGNA HEALTH AND LIFE INSURANCE | $4K | $14K | $18K | 0.92% |
| HERITAGE CORPORATE BENEFITS3 | 2487 CEDARCREST RD SUITE122 ACWORTH, GA 30101 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $0 | $17K | 15.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CLAIMS PROCESSOR | Contract Administrator; Claims processing; Plan Administrator Service code 12 | — | $88K |
| CIGNA HEALTH AND LIFE INSURANCE | Named fiduciary; Float revenue; Claims processing; Non-monetary compensation; Contract Administrator; Other services; Direct payment from the plan; Participant communication 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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE | 148 | $2.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE | 148 | $2.0M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 211 | $114K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 211 | $114K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 211 | $114K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 211 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.