- Several benefits bundled on one contract. The filing shows one combined premium, not the split.
- A self-funded employer with no medical policy. There’s nothing filed for medical. No premium, no commission.
Benefits bundled on one contract
Sometimes multiple benefits are bundled into a single policy, making it unclear what commissions or premiums are attributable to each specific benefit. For example, a contract might bundle life insurance, long-term disability, and temporary disability under one reported premium, without showing how much of that premium went to each benefit. To estimate the split, we look at employers who file those same benefits as separate policies. Their filings show the actual split, which we apply to the bundled contract.Self-funded medical
A self-funded employer pays medical claims out of pocket instead of buying a policy, so there’s no medical premium or commission to file. About seven in ten have no medical figure on file at all. Because medical’s usually the biggest line in a benefits program, the employer’s spend and the broker’s commission both look much smaller than they really are. To fill that gap, we look at what similar fully insured employers pay per person per month on medical, and what their brokers earn, then apply that rate to the people covered by the plan over a year.FAQs
Does an estimate change or replace what the employer reported?
Does an estimate change or replace what the employer reported?
No. On a bundled contract the pieces add up to the filed total. We’re just showing the breakdown. For self-funded medical there’s nothing filed to change; the estimate sits next to whatever was reported.
Why isn't there an estimate for this benefit or this employer?
Why isn't there an estimate for this benefit or this employer?
Usually there isn’t enough filed data. Either too few separate filings exist to measure a reliable split, or the employer’s below the Form 5500 filing threshold with no Schedule A at all.
Can I search or filter on estimated figures?
Can I search or filter on estimated figures?
No. Search and filters only look at what was actually filed, so an estimate alone can’t be why an employer shows up in a search.
Related
Data Glossary
What every field on an employer or broker profile means
Form 5500 Overview
What the filing includes, and what BenefitFlow adds
What is the Primary Broker?
How reported commissions decide the lead broker relationship
Filtering Guide
Which fields you can search and filter on

