| 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 | $8K | $8K | $16K | 2.09% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 445 SOUTH STREET MORRISTOWN, NJ 07960 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | — | $109K | $109K | 23.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WESTERN ASSET MANAGEMENT EIN 95-2705767 NONE | Investment management; Direct payment from the plan Service code 28 | — | $152K |
| GRANTHAM, MAYO, VANOTTERLOO & CO. EIN 04-2691242 NONE | Direct payment from the plan; Investment management Service code 28 | — | $129K |
| DODGE & COX EIN 94-1441976 NONE | Direct payment from the plan; Investment management Service code 28 | — | $87K |
| LEGAL & GENERAL INVESTMENT EIN 20-8058531 NONE | Investment management; Direct payment from the plan Service code 28 | — | $83K |
| AON CONSULTING INC. EIN 22-2232264 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $33K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (other than securities); Custodial (securities); Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 18 | — | $25K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Consulting (general); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $23K |
| RUSSELL INVESTMENTS US EIN 81-1706025 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $22K |
| INCOME RESEARCH & MANAGEMENT EIN 04-2955404 NONE | Investment management; Direct payment from the plan Service code 28 | — | $15K |
| SSGA S&P 500 INDEX NON LENDING EIN 04-6625099 NONE | Investment management; Direct payment from the plan Service code 28 | — | $9K |
| ARROWSTREET CAPITAL, LIMITED EIN 04-3472863 NONE | Direct payment from the plan; Investment management Service code 28 | — | $5K |
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 | 1,332 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,332 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 92 | $897K |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 92 | $765K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 995 | $746K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 995 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.