| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 606740001 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $12K | $24K | 2.53% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 445 SOUTH STREET MORRISTOWN, NJ 07960 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | $3K | $25K | $28K | 4.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WESTERN ASSET MANAGEMENT EIN 95-2705767 NONE | Direct payment from the plan; Investment management Service code 28 | — | $188K |
| GRANTHAM, MAYO, VANOTTERLOO & CO. EIN 04-2691242 NONE | Direct payment from the plan; Investment management Service code 28 | — | $167K |
| DODGE & COX EIN 94-1441976 NONE | Investment management; Direct payment from the plan Service code 28 | — | $113K |
| ARROWSTREET CAPITAL, LIMITED EIN 04-3472863 NONE | Direct payment from the plan; Investment management Service code 28 | — | $86K |
| MONDRIAN INVESTMENT GROUP (U.S.) EIN 56-2475915 NONE | Investment management; Direct payment from the plan Service code 28 | — | $46K |
| AON CONSULTING INC. EIN 22-2232264 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $31K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities); Trustee (bank, trust company, or similar financial institution); Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $30K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan; Consulting (general) Service code 10 | — | $22K |
| SSGA S&P 500 INDEX NON LENDING EIN 04-6625099 NONE | Direct payment from the plan; Investment management Service code 28 | — | $20K |
| SSGA MSCI ACWI EX USA NON-LENDING EIN 80-6103053 NONE | Direct payment from the plan; Investment management Service code 28 | — | $7K |
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. |
| Retired/separated still receiving benefits | 1,352 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 156 | $1.9M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 143 | $1.0M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,000 | $956K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,000 | — |
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."
No prospect flags tripped on this filing.