| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 2925 PALMER ST, STE #B MISSOULA, MT 59808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | $12K | $30K | 3.43% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 2925 PALMER ST, STE #B MISSOULA, MT 59808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $34K | $3K | $37K | 16.19% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 2925 PALMER ST, STE #B MISSOULA, MT 59808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $35K | — | $35K | 22.60% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MONTANA EIN 81-0216685 N/A | Contract Administrator; Direct payment from the plan Service code 13 | — | $677K |
| DELTA DENTAL INSURANCE COMPANY EIN 94-2761537 N/A | Direct payment from the plan; Contract Administrator Service code 13 | — | $111K |
| PREVENTURE N/A | Direct payment from the plan; Consulting (general) Service code 16 | 2000 NOOSENECK HILL ROAD COVENTRY, RI 02816 | $86K |
| VISION SERVICE PLAN EIN 83-0212963 N/A | Direct payment from the plan; Contract Administrator Service code 13 | — | $40K |
| CROWLEY FLECK N/A | Legal; Direct payment from the plan Service code 29 | 900 N. LAST CHANCE GULCH SUITE 200 HELENA, MT 59601 | $15K |
| MCCARTIN ACTUARIAL SERVICES N/A | Actuarial; Direct payment from the plan Service code 11 | 7410 S W OLESON ROAD SUITE 428 PORTLAND, OR 97223 | $13K |
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 | 2,053 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 40 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,093 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,053 | $1.1M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,053 | $881K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,053 | $881K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,053 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,053 | — |
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.