| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 4100 NEWPORT PLACE DRIVE, STE 650 NEWPORT BEACH, CA 92660 | HARTFORD LIFE AND ACCIDENT | $140K | — | $140K | 11.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 2 PIERCE PLACE, 21ST FL ITASCA, IL 60143 | HARTFORD LIFE AND ACCIDENT | — | $31K | $31K | 2.45% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 Filed as: BENEFIT ADVISORS SERVICES GRP | 1120 SANCTUARY PKWY, STE 375 ALPHARETTA, GA 30009 | HARTFORD LIFE AND ACCIDENT | $13K | — | $13K | 1.07% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 60673 | CONTINENTAL AMERICAN INSURANCE COMPANY | $105K | — | $105K | 17.78% |
| MERCER HEALTH AND BENEFITS, LLC3 | P.O. BOX 310502 DES MOINES, IA 50331 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 2.02% |
| RHOLAN CHAN WONG3 Filed as: RHOLAN C WONG | 2825 TILDEN AVE LOS ANGELES, CA 90064 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9K | — | $9K | 1.45% |
| STEVEN R. JOHNSON3 Filed as: STEVEN R JOHNSON | 1318 HICKORY AVE TORRANCE, CA 90503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.22% |
| CARLOS A ALMEIDA3 Filed as: CARLOS D HERNANDEZ | 3848 CARSON STREET, SUITE 110 TORRANCE, CA 90503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.22% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HYATT LEGAL PLANS | $10K | $846 | $11K | 5.35% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | 29840 NETWORK PLACE CHICAGO, IL 60673 | HYATT LEGAL PLANS | $10K | — | $10K | 5.17% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 220 WEST MAIN STREET, STE 1800 LOUISVILLE, KY 40202 | HYATT LEGAL PLANS | — | $3K | $3K | 1.31% |
No Schedule C service providers reported on this filing.
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 | 5,330 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 55 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,385 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,647 | $6.9M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 5,330 | $1.3M |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 5,330 | $1.9M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 5,330 | $1.3M |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 1,751 | $6.3M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 5,330 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,330 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.