| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PERVIDIO BENEFITS SERVICES LLC | PO BOX 273 COLBERT, WA 99005 | RELIANCE STANDARD | $3K | — | $3K | 13.56% |
| PERVIDIO BENEFITS SERVICES LLC3 | PO BOX 273 COLBERT, WA 99005 | RELIANCE STANDARD | $1K | — | $1K | 10.99% |
| PERVIDIO BENEFITS SERVICES LLC3 | PO BOX 273 COLBERT, WA 99005 | RELIANCE STANDARD | $2K | $2K | $4K | 44.67% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BG SUMMIT LLC EIN 88-2365748 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | PO BOX 1046 BOULDER, MT 59632 | $432K |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD | 130 | $9K |
| Short-term disability | RELIANCE STANDARD | 129 | $12K |
| Long-term disability | RELIANCE STANDARD | 130 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.