| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | SUN LIFE ASSURANCE COMPANY (U.S.) | — | $27K | $27K | 1.07% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $127K | $61 | $127K | 60.42% |
| AON CONSULTING INC3 Filed as: BSWIFT | 10 S RIVERSIDE PLZ STE 1100 CHICAGO, IL 606063708 | METROPOLITAN LIFE INSURANCE COMPANY | — | $6K | $6K | 2.90% |
| DANONE NORTH AMERICA0 | 12002 AIRPORT WAY BROOMFIELD, CO 80021 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 2.38% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.16% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $79K | $61 | $79K | 51.62% |
| DANONE NORTH AMERICA0 | 12002 AIRPORT WAY BROOMFIELD, CO 80021 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 3.25% |
| AON CONSULTING INC3 Filed as: BSWIFT LLC | 10 S. RIVERSIDE PLZ. STE. 1100 CHICAGO, IL 606063708 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 2.47% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS. SERVICES | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.99% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO. | $12K | $1K | $13K | 9.68% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO. | — | $610 | $610 | 0.44% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO. | — | $42 | $42 | 0.03% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $66K | $61 | $66K | 51.20% |
| DANONE NORTH AMERICA0 | 12002 AIRPORT WAY BROOMFIELD, CO 80021 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 3.86% |
| AON CONSULTING INC3 Filed as: BSWIFT LLC | 10 S RIVERSIDE PLZ STE. 1100 CHICAGO, IL 606063708 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 2.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS. SERVICES | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 0.98% |
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 | 4,283 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 69 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 5 carriers) | SELECTHEALTH | 2,212 | $5.4M |
| Vision | VISION SERVICE PLAN | 3,095 | $404K |
| Life insurance | SUN LIFE ASSURANCE COMPANY (U.S.) | 5,368 | $2.5M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY (U.S.) | 5,368 | $2.5M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY (U.S.) | 5,368 | $2.5M |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 199 | $2.6M |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY (U.S.) | 5,368 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,368 | — |
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.