| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES, LLC | 315 MONTGOMERY ST, SUITE 900 SAN FRANCISCO, CA 94104 | HCC LIFE INSURANCE COMPANY | $30K | — | $30K | 5.87% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN SERVICE INC EIN 91-1363171 NONE | Direct payment from the plan; Copying and duplicating; Contract Administrator; Claims processing Service code 12 | — | $367K |
| PREMERA BLUE CROSS BLUE SHIELD EIN 91-0499247 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $174K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance agents and brokers; Direct payment from the plan; Consulting (general) Service code 16 | — | $55K |
| KEYBANK NATIONAL ASSOCIATION EIN 92-0089306 NONE | Direct payment from the plan; Investment management; Shareholder servicing fees; Custodial (securities) Service code 19 | — | $50K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $28K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $25K |
| QUALIS HEALTH EIN 91-1072875 NONE | Direct payment from the plan; Other services Service code 49 | — | $16K |
| LABOR TRUST SERVICES, INC. EIN 92-0134212 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $14K |
| NORTH AMERICAN PRINTING NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 389 EAST PALM LANE PHOENIX, AZ 85004 | $9K |
| RV KUHNS & ASSOCIATES, INC. EIN 93-0910652 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $8K |
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 | 716 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 61 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 148 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 925 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 721 | $14K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 828 | $520K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 721 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 828 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.