| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 321 N CLARK ST SUITE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $387K | $136K | $522K | 2.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 21300 VICTORY BLVD STE 635 WOODLAND HILLS, CA 913672525 | METROPOLITAN LIFE INSURANCE COMPANY | -$14K | $0 | -$14K | -0.06% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 321 N CLARK ST SUITE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $38K | $38K | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 321 N CLARK ST SUITE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $83K | $59K | $142K | 1.45% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 913672525 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.02% |
| AMERICAN BENEFITS AND COMPENSATION3 | 99 PARK AVENUE 25TH FLOOR NEW YORK, NY 10016 | HYATT LEGAL PLANS | $103K | $63K | $166K | 6.01% |
| AMERICAN BENEFITS AND COMPENSATION3 | 99 PARK AVENUE 25TH FLOOR NEW YORK, NY 10016 | HYATT LEGAL PLANS | $0 | $63K | $63K | 2.27% |
| AON CONSULTING INC3 Filed as: AON COALITION PURCHASING GROUP | 104 SEQUOIA CV LAKE KIOWA, TX 762408853 | HYATT LEGAL PLANS | $0 | $48 | $48 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT ADVISORS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (FLEX ADD) | $38K | $26K | $63K | 3.23% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT ADVISORS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (VPAI) | $26K | $18K | $45K | 3.26% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT ADVISORS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (ADD CARVEOUT) | $1K | $745 | $2K | 2.68% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT ADVISORS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (SPECIAL PURPOSE) | $238 | $0 | $238 | 1.50% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CRAF SUPPLEMENTAL) | $15 | $12 | $27 | 2.70% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CONTRACTUAL AD&D) | $15 | $12 | $27 | 2.70% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT ADVISORS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA (SPECIAL RISK) | $15 | $12 | $27 | 2.70% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF TEXAS EIN 36-1236610 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 9901 N CENTRAL EXPWY RICHARDSON, TX 75080 | $17.4M |
| UNITEDHEALTHCARE EIN 36-2739571 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 1900 GOLF ROAD SUITE 500 SCHAUMBURG, IL 60673 | $12.5M |
| AON HEWITT EIN 23-1503749 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 39584 TREASURY CTR CHICAGO, IL 60694 | $6.6M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CLAIM PROCESSING | Claims processing Service code 12 | 200 PARK AVENUE NEW YORK, NY 10166 | $1.8M |
| EXPRESS SCRIPTS INC EIN 22-3446377 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 8111ROYAL RIDGE PKWY SUITE 101 IRVING, TX 75063 | $1.8M |
| IBM MERCER EIN 13-2834414 CONSULTING | Consulting (general) Service code 16 | 1717 MAIN STREET DALLAS, TX 75201 | $1.5M |
| OPTUM HEALTH EIN 41-1858498 RECORDKEEPING | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | PO BOX 271256 SALT LAKE CITY, UT 84127 | $252K |
| NETWORK MEDICAL REVIEW, EXAMWORKS EIN 34-4041877 CONSULTING | Consulting (general) Service code 16 | 4960 E STATE STREET ROCKFORD, IL 61108 | $94K |
| NATIONAL BUSINESS GROUP ON HEALTH EIN 52-1147591 CONSULTING | Consulting (general) Service code 16 | 20 F STREET STE 200 WASHINGTON, DC 200016705 | $9K |
| ADVANCE MEDICAL REVIEW EIN 59-3791598 CONSULTING | Consulting (general) Service code 16 | 100 LOWDER BROOK WESTWOOD, MA 02090 | $3K |
| MEDICAL REVIEW INSTITUTE OF AMERICA EIN 87-0515201 CONSULTING | Consulting (general) Service code 16 | 2875 SOUTH DECKER LAKE RD SUITE 550 SALT LAKE CITY, UT 84119 | $2K |
| DFW BUSINESS GROUP ON HEALTH EIN 75-1924594 CONSULTING | Consulting (general) Service code 16 | 11520 N CENTRAL EXPWY SUITE 201 DALLAS, TX 75243 | $800 |
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 | 82,855 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 961 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 83,816 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts, 2 carriers) | EYEMED | 124,088 | $6.3M |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 79,903 | $38.8M |
| Short-term disability(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 78,437 | $22.6M |
| Other(8 contracts, 8 carriers) | HYATT LEGAL PLANS | 82,237 | $6.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,231,201 | — |
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.