| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE STE40 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | $54K | $14K | $68K | 6.29% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE JAMES DUNCAN | 101 HUNTINGTON AVE STE 401 BOSTON, MA 021997652 | SUN LIFE ASSURANCE COMPANY OF CANADA | $71K | — | $71K | 11.21% |
| MARSH & MCLENNAN AGENCY LLC3 | 101 HUNTINGTON AVE STE 401 BOSTON, MA 021997652 | SUN LIFE ASSURANCE COMPANY OF CANADA | $24K | — | $24K | 3.79% |
| MARSH & MCLENNAN AGENCY LLC3 | 1 EXECUTIVE DRIVE STE 300 SOMERSET, NJ 08873 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $5K | $5K | 0.79% |
| MARSH & MCLENNAN AGENCY LLC3 | 101 HUNTINGTON AVE STE 401 BOSTON, MA 021997652 | VISION SERVICE PLAN | $5K | $0 | $5K | 1.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CLAIMS ADMINISTRATION | Non-monetary compensation; Claims processing; Direct payment from the plan; Contract Administrator; Other services; Named fiduciary; Participant communication; Float revenue Service code 12 | — | $1.3M |
| CIGNA | Direct payment from the plan; Non-monetary compensation; Contract Administrator; Other services; Float revenue; Named fiduciary; Claims processing; Participant communication Service code 12 | — | $0 |
| MARSH & MCLENNAN AGENCY LLC BROKER | Other commissions Service code 55 | 1 EXECUTIVE DRIVE STE 300 SOMERSET, NJ 08873 | $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 | 2,407 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,407 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 3,505 | $1.1M |
| Vision | VISION SERVICE PLAN | 1,725 | $251K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,430 | $636K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3,331 | $520K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,505 | — |
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.