| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL PENSIONS INC3 Filed as: PROFESSIONAL PENSIONS, INC. | 10 RESEARCH PARKWAY, SUITE 200 WALLINGFORD, CT 06492 | ANTHEM HEALTH PLANS, INC. | — | $39K | $39K | 1.81% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC. | ONE WORLD FINANCIAL CENTER, #200 NEW YORK, NY 10281 | ANTHEM HEALTH PLANS, INC. | $26K | — | $26K | 1.23% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 10 STATE HOUSE SQUARE, FLOOR 11 HARTFORD, CT 06103 | DELTA DENTAL OF CONNECTICUT, INC. | $2K | — | $2K | 3.26% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC. | 75 ARLINGTON STREET, FLOOR 10 BOSTON, MA 02116 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.71% |
| PROFESSIONAL PENSIONS INC3 Filed as: PROFESSIONAL PENSIONS, INC. | 10 RESEARCH PARKWAY, SUITE 200 WALLINGFORD, CT 06492 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 4.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON US, LLC | P.O. BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | $133 | — | $133 | 0.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST, INC | 75 ARLINGTON STREET, FLOOR 10 BOSTON, MA 02116 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 13.31% |
| PROFESSIONAL PENSIONS INC3 Filed as: PROFESSIONAL PENSIONS, INC. | 10 RESEARCH PARKWAY WALLINGFORD, CT 06492 | STANDARD INSURANCE COMPANY | $674 | — | $674 | 4.57% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON US, LLC | P.O. BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | $73 | — | $73 | 0.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC. | J.P. MORGAN CHASE, P.O. BOX 4557 NEW YORK, NY 102494557 | EYEMED VISION CARE | $390 | — | $390 | 5.41% |
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 | 139 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS, INC. | 190 | $2.1M |
| Dental(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS, INC. | 190 | $2.2M |
| Vision | EYEMED VISION CARE | 116 | $7K |
| Life insurance | STANDARD INSURANCE COMPANY | 139 | $27K |
| Long-term disability | STANDARD INSURANCE COMPANY | 139 | $15K |
| Other | STANDARD INSURANCE COMPANY | 139 | $27K |
| 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.