| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 | 18940 NORTH PIMA RD SUITE 210 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | — | $64K | $64K | 5.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | UNITEDHEALTHCARE INSURANCE COMPANY | $17K | — | $17K | 10.01% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | METROPOLITAN LIFE INSURANCE COMPANY | $18K | $4K | $22K | 23.65% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $4K | $22K | 24.46% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $113K | — | $113K | 182.58% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $315 | $315 | 0.51% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | UNITED BEHAVIORAL HEALTH | $3K | — | $3K | 9.72% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $666K |
| PRUDENTIAL INSURANCE CO OF AMERICA EIN 22-1211670 ADMINISTRATOR | Claims processing Service code 12 | — | $46K |
| THE PLEXUS GROUPE LLC BROKER | Other commissions Service code 55 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | $39K |
| COMPSYCH EIN 35-3739783 ADMINISTRATOR | Claims processing Service code 12 | — | $18K |
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 | 1,793 | 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) | 1,793 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 778 | $183K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 2,386 | $174K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 2,386 | $174K |
| Life insurance(4 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,793 | $296K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 527 | $266K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 442 | $250K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,352 | $1.3M |
| Other(3 contracts, 2 carriers) | UNITED BEHAVIORAL HEALTH | 1,793 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,386 | — |
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.