| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AKT BENEFIT ADVISORS LP3 Filed as: AKT BENEFIT ADVISORS, LLC | 680 HAWTHORNE AVE. SE STE 140 SALEM, OR 973010041 | VISION SERVICE PLAN | $844 | — | $844 | 2.00% |
| AKT BENEFIT ADVISORS LP3 | 680 HAWTHORNE AVE SE # 140 SALEM, OR 97301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $542 | $6K | 16.61% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 4.00% |
| AKT BENEFIT ADVISORS LP3 | 680 HAWTHORNE AVE SE # 140 SALEM, OR 97301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $385 | $5K | 16.34% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 4.00% |
| AKT BENEFIT ADVISORS LP3 | 680 HAWTHORNE AVE SE # 140 SALEM, OR 97301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $382 | $4K | 16.56% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $981 | $981 | 4.00% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $811 | $811 | 4.00% |
| AKT BENEFIT ADVISORS LP3 | 680 HAWTHORNE AVE SE# 140 SALEM, OR 97301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $224 | $224 | 1.10% |
| MARK MATHIAS3 Filed as: MARK J. WORKMAN | 31 POPPY IRVINE, CA 92618 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $252 | — | $252 | 3.99% |
| AKT BENEFIT ADVISORS LP3 | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $48 | $48 | 0.76% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $143K |
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 | 188 | 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) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 119 | $42K |
| Life insurance(2 contracts, 2 carriers) | NATIONWIDE LIFE INSURANCE COMPANY | 188 | $321K |
| Long-term disability(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 22 | $40K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 44 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.