| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT, LLC | 2321 WHITNEY AVENUE HAMDEN, CT 06518 | ANTHEM HEALTH PLANS, INC. | $90K | $0 | $90K | 2.85% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | P.O. BOX 414965 BOSTON, MA 02241 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | $0 | $6K | 2.69% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | SERVICES WEST INC P.O. BOX 101162 PASADENA, CA 91189 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $3K | $3K | 1.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | 10 STATE HOUSE SQ., FL 11 HARTFORD, CT 061033602 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $61 | $6K | 2.99% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | P.O. BOX 414965 BOSTON, MA 022414965 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 1.44% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | P.O. BOX 414965 BOSTON, MA 02241 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | $0 | $5K | 3.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | SERVICES WEST INC P.O. BOX 101162 PASADENA, CA 91189 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $3K | $3K | 1.75% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | P.O. BOX 414965 BOSTON, MA 022414965 | EYEMED VISION CARE | $3K | $0 | $3K | 12.81% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | 2321 WHITNEY AVENUE HAMDEN, CT 06518 | ANTHEM HEALTH PLANS, INC. | $88 | $0 | $88 | 1.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | P.O. BOX 414965 BOSTON, MA 02241 | SUN LIFE AND HEALTH INSURANCE COMPANY | $18 | $0 | $18 | 3.05% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | SERVICES WEST INC P.O. BOX 101162 PASADENA, CA 91189 | SUN LIFE AND HEALTH INSURANCE COMPANY | $0 | $1 | $1 | 0.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE PATHWAYS GROUP EIN 06-0986061 CONSULTANT | Contract Administrator; Consulting (general); Consulting fees Service code 13 | — | $10K |
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 | 343 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 348 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | ANTHEM HEALTH PLANS, INC. | 514 | $3.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 668 | $202K |
| Vision | EYEMED VISION CARE | 311 | $23K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 334 | $208K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 296 | $165K |
| Prescription drug | ANTHEM HEALTH PLANS, INC. | 514 | $3.2M |
| Other(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS, INC. | 3 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 668 | — |
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.