| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS AND COMPENSATION3 | 99 PARK AVENUE 25TH FLOOR NEW YORK, NY 10016 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $74K | $0 | $74K | 15.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF TEXAS EIN 36-1236610 CLAIM PROCESSING | Claims processing Service code 12 | 9901 SOUTH CENTRAL EXPWY RICHARDSON, TX 75080 | $3.2M |
| ALIGHT SOLUTIONS, LLC EIN 82-1061233 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | PO BOX 95135 CHICAGO, IL 606945135 | $1.7M |
| UNITED HEALTHCARE EIN 41-1289245 CLAIM PROCESSING | Claims processing Service code 12 | 1900 GOLF ROAD SUITE 500 SCHAUMBURG, IL 60673 | $580K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CLAIM PROCESSING | Claims processing Service code 12 | 200 PARK AVENUE NEW YORK, NY 10166 | $336K |
| EXPRESS SCRIPTS EIN 43-1420563 CLAIM PROCESSING | Claims processing Service code 12 | ONE EXPRESS WAY ST. LOUIS, MO 63121 | $141K |
| AON CONSULTING RADFORD AON HEWITT EIN 22-2232264 CONSULTING | Consulting (general) Service code 16 | PO BOX 100137 PASADENA, CA 911890137 | $112K |
| MERCER EIN 13-2834414 CONSULTING | Consulting (general) Service code 16 | 1717 MAIN STREET DALLAS, TX 75201 | $77K |
| TRUVEN HEALTH ANALYTICS, LLC EIN 06-1467923 RECORDKEEPING | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | P BOX 71716 CHICAGO, TX 606941716 | $16K |
| WILLIS TOWERS WATSON EIN 53-0181291 ACTUARY | Actuarial Service code 11 | TWO LINCOLN CENTER SUITE 800 DALLAS, TX 752406290 | $10K |
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 | 9,899 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 744 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,514 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 20,643 | $1.1M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 353 | $487K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 20,643 | — |
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.