| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $87K | — | $87K | 1.49% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX #741090 ATLANTA, GA 303741909 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $296K | $49K | $345K | 10.11% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA INC | LOCKBOX #9102-PO BOX 8500 PHILADELPHIA, PA 19178 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $8K | $8K | 0.24% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | COMMISION LOCKBOX 28852 NEW YORK, NY 10087 | AETNA LIFE INSURANCE CO | $52K | — | $52K | 4.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA | LOCKBOX #9102 PO BOX 8500 PHILADELPHIA, PA 191789102 | AETNA LIFE INSURANCE CO | $5K | — | $5K | 0.43% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PA | LOCKBOX #9102, PO BOX 8500 PHILADELPHIA, PA 191780001 | KAISER FOUNDATION HEALTH PLAN, INC. | $3K | — | $3K | 0.42% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX #741909 ATLANTA, GA 303741909 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $51K | $9K | $60K | 9.43% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA INC | LOCKBOX #9102 PO BOX 8500 PHILADELPHIA, PA 191789102 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $1K | $1K | 0.22% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DE - STAMFORD, CT | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $21K | — | $21K | 4.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON - STAMFORD, CT | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $2K | — | $2K | 0.41% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE, INC. | COMMISSION LOCKBOX 28852 NEW YORK, NY 10087 | METROPOLITAN PROPERTY & CASUALTY INSURANCE CO. | $6K | — | $6K | 11.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 741909 ATLANTA, GA 30374 | METROPOLITAN PROPERTY & CASUALTY INSURANCE CO. | $0 | $980 | $980 | 1.85% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA, INC. | LOCKBOX 9102 PO BOX 8500 PHILADELPHIA, PA 19178 | METROPOLITAN PROPERTY & CASUALTY INSURANCE CO. | — | $157 | $157 | 0.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA, INC. | LOCKBOX #9102, PO BOX 8500 PHILADELPHIA, PA 191789102 | METROPOLITAN PROPERTY & CASUALTY INSURANCE CO. | — | $31 | $31 | 0.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DE - STAMFORD, CT | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $236 | — | $236 | 4.60% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON - STAMFORD, CT | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $19 | — | $19 | 0.37% |
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 | 7,106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 120 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 1,235 | $11.7M |
| Dental | AETNA LIFE INSURANCE CO | 3,440 | $1.1M |
| Vision(2 contracts) | EYEMED VISION CARE | 9,195 | $463K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,163 | $3.4M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,163 | $638K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 1,235 | $11.7M |
| Other(4 contracts, 4 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,164 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,195 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.