| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES LLC | 200 PARK AVENUE, SUITE 3202 NEW YORK, NY 10166 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $47K | $0 | $47K | 1.22% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 2730 SIDNEY STREET, SUITE 330 PITTSBURGH, PA 15203 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $25K | $0 | $25K | 0.64% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES LLC | 200 PARK AVENUE, SUITE 3202 NEW YORK, NY 10166 | METROPOLITAN LIFE INSURANCE COMPANY | $65K | $3K | $68K | 15.95% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 6TH AVENUE, FLOOR 30 PITTSBURGH, PA 15222 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $0 | $11K | 2.67% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 200 PARK AVENUE, 32ND FLOOR NEW YORK, NY 10166 | VISION SERVICE PLAN | $885 | $0 | $885 | 4.22% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 2730 SIDNEY STREET, SUITE 330 PITTSBURGH, PA 15203 | VISION SERVICE PLAN | $609 | $0 | $609 | 2.91% |
No Schedule C service providers reported on this filing.
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF OREGON | 444 | $3.9M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 733 | $426K |
| Vision | VISION SERVICE PLAN | 314 | $21K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 733 | $426K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 733 | $426K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 733 | $426K |
| Prescription drug | REGENCE BLUECROSS BLUESHIELD OF OREGON | 444 | $3.9M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 733 | $426K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 733 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.