| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST, INC | 10 STATE STREET HARTFORD, CT 06103 | CONNECTICARE | $44K | — | $44K | 2.93% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST, INC | PO BOX 414965 BOSTON, MA 02241 | AETNA LIFE INSURANCE COMPANY | $18K | $4K | $22K | 13.07% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 414965 BOSTON, MA 02241 | NEW YORK LIFE GROUP BENEFITS SOLUTIONS | $6K | — | $6K | 10.56% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 414965 BOSTON, MA 02241 | CIGNA INSURANCE GROUP | — | $681 | $681 | 2.78% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 414965 BOSTON, MA 02241 | VSP VISION CARE | — | $701 | $701 | 6.51% |
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 | 135 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CONNECTICARE | 180 | $1.7M |
| Dental | DELTA DENTAL OF NJ | 190 | $60K |
| Vision(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 88 | $180K |
| Life insurance(2 contracts, 2 carriers) | NEW YORK LIFE GROUP BENEFITS SOLUTIONS | 135 | $80K |
| Short-term disability(2 contracts, 2 carriers) | NEW YORK LIFE GROUP BENEFITS SOLUTIONS | 135 | $80K |
| Long-term disability(2 contracts, 2 carriers) | NEW YORK LIFE GROUP BENEFITS SOLUTIONS | 135 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.