| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ED FARRELL3 | 1155 HARBOR LINKS CIRCLE VERO BEACH, FL 32967 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $85K | — | $85K | 15.00% |
| EDWARD FARRELL3 | 1155 HARBOR LINKS CIRCLE VERO BEACH, FL 32967 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $9K | — | $9K | 2.48% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | — | $492 | $492 | 0.13% |
| ED FARRELL3 | 1155 HARBOR LINKS CIRCLE VERO BEACH, FL 32967 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $33K | — | $33K | 15.00% |
| ED FARRELL3 | 1155 HARBOR LINKS CIRCLE VERO BEACH, FL 32967 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY MANAGEMENT | Claims processing; Direct payment from the plan; Float revenue; Other fees Service code 12 | — | $1.8M |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $307K |
| MERCER HEALTH & BENEFITS LLC EIN 13-2834414 BROKER | Other commissions Service code 55 | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | $52K |
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 | 1,004 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 279 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 334 | $368K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 739 | $221K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 893 | $565K |
| Stop-loss / reinsurancereinsurance | SWISS REINSURANCE COMPANY, LTD | 259 | $1.1M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 738 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 893 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.