| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY LAPIDUS3 | PO BOX 547 WEIMAR, CA 95736 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 10.82% |
| GARY LAPIDUS3 | PO BOX 547 WEIMAR, CA 95736 | MESVISION | $718 | $0 | $718 | 6.00% |
| GARY LAPIDUS3 | PO BOX 547 WEIMAR, CA 95736 | SUN LIFE ASSURANCE COMPANY OF CANADA | $578 | $0 | $578 | 29.60% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT RISK & MANAGEMENT SERVICES EIN 94-2378705 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | 80 IRON POINT CIRCLE #200 FOLSOM, CA 95630 | $69K |
| GARY LAPIDUS INSURANCE BROKER | Insurance agents and brokers Service code 22 | PO BOX 547 WEIMAR, CA 95736 | $21K |
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 | 116 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | MESVISION | 108 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 106 | $14K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 116 | $2K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 119 | $241K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 119 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.