| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT, INC. | 185 ASYLUM STREET 25TH FLOOR HARTFORD, CT 06103 | CONNECTICARE, INC. | $23K | $1K | $24K | 1.63% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT, LLC | 185 ASYLUM STREET 25TH FLOOR HARTFORD, CT 06103 | OXFORD HEALTH INSURANCE, INC. | $4K | — | $4K | 1.52% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT, LLC | 185 ASYLUM STREET 25TH FLOOR HARTFORD, CT 06103 | ANTHEM HEALTH PLANS, INC. | $3K | — | $3K | 1.13% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT, LLC | PO BOX 414965 BOSTON, MA 02241 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 9.84% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT | PO BOX 414965 BOSTON, MA 02241 | EYE MED VISION CARE/FIDELITY SECURITY LIFE INSURANCE COMPANY | $256 | — | $256 | 6.95% |
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 | 297 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 39 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | CONNECTICARE, INC. | 256 | $2.0M |
| Vision | EYE MED VISION CARE/FIDELITY SECURITY LIFE INSURANCE COMPANY | 49 | $4K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 120 | $54K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 120 | $54K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 120 | $54K |
| Prescription drug | ANTHEM HEALTH PLANS, INC. | 39 | $224K |
| Other | ANTHEM HEALTH PLANS, INC. | 39 | $224K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 256 | — |
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.