| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY LAPIDUS3 | PO BOX 547 COLFAX, CA 95736 | HCC LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| GARY LAPIDUS3 | PO BOX 547 COLFAX, CA 95736 | UNUM LIFE INSURANCE COMPANY | $4K | $0 | $4K | 6.80% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT RISK MANAGEMENT SERVICES EIN 68-0306908 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | 80 IRON POINT CIRCLE #200 FOLSOM, CA 95630 | $100K |
| GARY LAPIDUS INSURANCE BROKER | Insurance agents and brokers Service code 22 | PO BOX 547 WEIMAR, CA 95736 | $30K |
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 | 140 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNUM LIFE INSURANCE COMPANY | 161 | $58K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 140 | $339K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.