| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PACIFIC BUSINESS SOLUTIONS, LLC3 Filed as: PACIFIC BUSINESS SOLUTIONS | PO BOX 240655 HONOLULU, HI 96824 | UNIVERSITY HEALTH ALLIANCE | $8K | $0 | $8K | 2.75% |
| GCG FINANCIAL LLC3 Filed as: WILSON ALBERS | 3000 A STREET, SUITE 400 ANCHORAGE, AK 99503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19K | $2K | $21K | 15.23% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN, INC. | PO BOX 9201 AUSTIN, TX 78766 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $11K | $13K | 9.16% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $1K | $8K | 6.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE, SUITE 200 BELLEVUE, WA 78004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4 | $0 | $4 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, 11TH FLOOR ROLLING MEADOWS, IL 60008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $1 | $1 | 0.00% |
| UNKNOWN3 | UNKNOWN TACOMA, WA 98409 | TELADOC | $3K | $0 | $3K | 13.21% |
| GCG FINANCIAL LLC3 Filed as: WILSON ALBERS | 3000 A STREET, SUITE 400 ANCHORAGE, AK 99503 | UNUM INSURANCE COMPANY | $299 | $234 | $533 | 5.34% |
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 | 485 | 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) | 485 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIVERSITY HEALTH ALLIANCE | 57 | $301K |
| Dental | UNIVERSITY HEALTH ALLIANCE | 57 | $301K |
| Vision | UNIVERSITY HEALTH ALLIANCE | 57 | $301K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $138K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $138K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $138K |
| Prescription drug | UNIVERSITY HEALTH ALLIANCE | 57 | $301K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 392 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 392 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.