| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 1108 LIVINGSTON AVENUE HELENA, MT 59604 | HARTFORD LIFE AND ACCIDENT | $67K | — | $67K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $11K | $11K | 2.46% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| 6 DEGREES HEALTH DX LLC EIN 81-4242649 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $278K |
| C.A.S. EIN 91-1991574 TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $244K |
| MARSH & MCLENNAN EIN 26-3237576 BROKER | Insurance agents and brokers Service code 22 | — | $160K |
| PRISM HEALTH STRATEGISTS LLC EIN 84-3791694 MEDICAL MANAGEMENT | Other fees Service code 99 | — | $17K |
| BENEFITFOCUS.COM INC. EIN 46-2346314 COBRA ADMINISTRATOR | Other fees Service code 99 | — | $9K |
| INNOVATIVE CARE MAN. EIN 93-1087669 MEDICAL MANAGEMENT | Other fees Service code 99 | — | $7K |
| SUPERIOR VISION EIN 86-0757439 VISION PLAN | Other fees Service code 99 | — | $597 |
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 | 994 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 998 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,031 | $447K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 895 | $267K |
| Other(4 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 3,006 | $584K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,006 | — |
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.