| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. Filed as: ANTHEM INSURANCE COMPANYIES, INC. | 120 MONUMENT CIRCLE INDIANAPOLIS, IN 46204 | FOUR EVER LIFE INSURANCE COMPANY | $0 | $8K | $8K | 4.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS LHIC EIN 95-4331852 CONTRACT ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Insurance brokerage commissions and fees; Contract Administrator; Other commissions; Insurance agents and brokers; Float revenue; Other services Service code 12 | — | $3.3M |
| CVS EIN 05-0340626 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $279K |
| ANTHEM | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | — | $142K |
| CROWE LLP EIN 35-0921680 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $28K |
| ADP, INC. EIN 94-3351864 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $26K |
| BECHTEL GLOBAL CORPORATION EIN 80-0848899 EMPLOYER | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $25K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE | Investment management; Shareholder servicing fees; Other services; Float revenue; Investment management fees paid indirectly by plan; Investment advisory (participants); Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $5K |
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 | 13,363 | 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) | 13,363 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 728 | $6.0M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 83 | $547K |
| Vision | VISION SERVICE PLAN | 7,372 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,372 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.