| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CSA GENERAL INSURANCE AGENCY3 Filed as: CSA GENERAL INSURANCE AGENCY INC. | 2480 WEST LAS PALMARITAS DRIVE PHOENIX, AZ 85021 | COMPANION LIFE INSURANCE COMPANY | $3K | — | $3K | 17.54% |
| AFFINITY GROUP BENEFITS LLC3 Filed as: AFFINITY BENEFIT INSURANCE SERVICES | 2850 W. HORIZON RIDGE PARKWAY HENDERSON, NV 89103 | LIFE INSURANCE COMPANY OF NORTH AMERCIA | $2K | — | $2K | 9.69% |
| AFFINITY GROUP BENEFITS LLC3 Filed as: AFFINITY BENEFIT INSURANCE SERVICES | 2850 W. HORIZON RIDGE PARKWAY HENDERSON, NV 89103 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 14.23% |
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 | 150 | 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) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 107 | $19K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERCIA | 150 | $18K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 28 | $9K |
| Other | COMPANION LIFE INSURANCE COMPANY | 107 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 150 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.