| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVENUE WESTLAKE, OH 44145 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | -$8K | -$8K | -5.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-2164154 TPA | Direct payment from the plan; Participant communication; Contract Administrator; Other services; Float revenue; Non-monetary compensation; Claims processing Service code 12 | 980 JOLLY ROAD BLUEBELL, PA 19422 | $105K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 TPA | Contract Administrator; Claims processing Service code 12 | 9706 FOURTH AVENUE NE SEATTLE, WA 98115 | $29K |
| VISION SERVICE PLAN EIN 91-6056925 TPA | Contract Administrator; Claims processing Service code 12 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | $6K |
| FLORES & ASSOCIATES EIN 56-1542307 TPA | Claims processing; Contract Administrator Service code 12 | 403 WEST PENNSYLVANIA AVE TOWSON, MD 21204 | $0 |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 238 | $141K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 238 | $141K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 238 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 238 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.