| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | 141 W GREEN STREET PASADENA, CA 91105 | DELTA DENTAL OF NEW JERSEY, INC. | $7K | $0 | $7K | 3.11% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INS CO OF AMERICA | $5K | $0 | $5K | 8.67% |
| GRIFFIN, STEVEN, RAY3 | STE 1400 2000 MORRIS AVE BIRMINGHAM, AL 35203 | UNUM LIFE INS CO OF AMERICA | $24K | $0 | $24K | 47.95% |
| WILLIAM FRENCH3 Filed as: WILLIAM THOMAS FRENCH | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INS CO OF AMERICA | $6K | $0 | $6K | 11.99% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INS CO OF AMERICA | $7K | $1 | $7K | 15.19% |
| GRIFFIN, STEVEN, RAY3 | STE 1400 2000 MORRIS AVE BIRMINGHAM, AL 35203 | PROVIDENT LIFE AND ACCIDENT INS CO | $25K | $0 | $25K | 55.87% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INS CO OF AMERICA | $5K | $0 | $5K | 15.59% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | 141 W GREEN STREET PASADENA, CA 91105 | VISION SERVICE PLAN | $2K | $0 | $2K | 5.24% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES INC | 141 W GREEN STREET PASADENA, CA 91105 | FLAGSHIP HEALTH SYSTEMS | $706 | $0 | $706 | 2824.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $820K |
| DISCOVERY BENEFITS INC EIN 90-0058554 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $2K |
| CIGNA | Other services Service code 49 | — | $0 |
| CIGNA HEALTH & LIFE INS CO OR CT GE | Other services Service code 49 | — | $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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 208 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF NEW JERSEY, INC. | 435 | $241K |
| Vision(2 contracts) | VISION SERVICE PLAN | 83 | $41K |
| Life insurance(2 contracts) | UNUM LIFE INS CO OF AMERICA | 328 | $103K |
| Short-term disability | UNUM LIFE INS CO OF AMERICA | 328 | $58K |
| Long-term disability | UNUM LIFE INS CO OF AMERICA | 112 | $34K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE CO AND AFFIL | 289 | $1.6M |
| Other(5 contracts, 2 carriers) | UNUM LIFE INS CO OF AMERICA | 328 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 435 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.