| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRLCE CHICAGO, IL 60674 | CIGNA LIFE INSURANCE CO OF NEW YORK | $52K | — | $52K | 5.69% |
| HOME AUTOMATION INC3 | 4330 MICHOUD BLVD NEW ORLEANS, LA 70129 | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | $9K | — | $9K | 2.57% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRLCE CHICAGO, IL 60674 | CIGNA LIFE INSURANCE CO OF NEW YORK | $13K | — | $13K | 5.74% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRLCE CHICAGO, IL 60674 | CIGNA LIFE INSURANCE CO OF NEW YORK | $6K | — | $6K | 5.72% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRLCE CHICAGO, IL 60674 | AETNA LIFE INSURANCE CO | $3K | — | $3K | 2.98% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRLCE CHICAGO, IL 60674 | CIGNA LIFE INSURANCE CO OF NEW YORK | $3K | — | $3K | 5.72% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRLCE CHICAGO, IL 60674 | CIGNA LIFE INSURANCE CO OF NEW YORK | $2K | — | $2K | 5.48% |
| ALBERT D DANIEL3 | 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $3K | — | $3K | — |
| ALBERT D DANIEL3 | 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $3K | — | $3K | — |
| ALBERT D DANIEL3 | 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $19K | — | $19K | — |
| DANIEL ALBERT3 | 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 | BLUECROSS BLUESHIELD OF NORTH CAROLINA | $8K | — | $8K | — |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1166 AVE OF THE AMERICAS, 24 FLOOR NEW YORK, NY 10036 | DELTA DENTAL OF NEW YORK | $5K | — | $5K | — |
| ASSUREDPARTNERS3 Filed as: BWD GROUP, LLC | 45 EXECUTIVE DRIVE PLAINVIEW, NY 11803 | FEDERAL INSURANCE COMPANY | $0 | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WAGEWORKS EIN 94-3351864 NONE | Contract Administrator; Claims processing Service code 12 | 1100 PARK PLACE 4TH FLOOR SAN MATEO, CA 94403 | $20K |
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 | 1,979 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 709 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,688 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 2,941 | $358K |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO | 3,550 | $97K |
| Life insurance | CIGNA LIFE INSURANCE CO OF NEW YORK | 2,677 | $915K |
| Short-term disability(2 contracts) | CIGNA LIFE INSURANCE CO OF NEW YORK | 1,395 | $136K |
| Long-term disability | CIGNA LIFE INSURANCE CO OF NEW YORK | 2,325 | $229K |
| Prescription drug(5 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 2,941 | $358K |
| Other(2 contracts, 2 carriers) | CIGNA LIFE INSURANCE CO OF NEW YORK | 1,355 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,550 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.