| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, INC. | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $1K | $1K | 1.38% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, INC. | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $1K | $1K | 1.38% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, INC. | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $472 | $472 | 1.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE & INV. ADVISOR | Trustee (directed); Other investment fees and expenses; Other fees; Account maintenance fees; Investment advisory (plan); Investment management; Float revenue; Investment management fees paid indirectly by plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Direct payment from the plan Service code 21 | — | $158K |
| UNITEDHEALTHCARE INSURANCE CO. EIN 37-2739571 THIRD-PARTY ADMINISTRATO | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Participant communication; Recordkeeping fees; Direct payment from the plan Service code 12 | — | $59K |
| KPMG LLP EIN 13-5565207 PLAN AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $28K |
| TOWERS WATSON CO EIN 26-0775680 RX COLLABORATIVE SPONSOR | Other services; Direct payment from the plan; Other fees Service code 49 | — | $23K |
| CONNECTICUT GENERAL LIFE INS. CO. EIN 59-1031071 THIRD-PARTY ADMINISTRATO | Claims processing; Non-monetary compensation; Other services; Float revenue; Participant communication; Recordkeeping fees; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $22K |
| CROWE HORWATH LLP EIN 35-0921680 FINANCIAL STATEMENT PREP | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $9K |
| PRIME THERAPEUDICS LLC EIN 26-0076803 PHARMACY BENEFIT MANAGER | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Recordkeeping fees; Claims processing; Float revenue; Direct payment from the plan; Other services Service code 12 | — | $8K |
| CONNECTICUT GENERAL LIFE INS CO EIN 59-1031071 THIRD PARTY ADMINISTRATO | Other services Service code 49 | — | $0 |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,335 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,335 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 454 | $5.7M |
| Life insurance(3 contracts) | AETNA LIFE INSURANCE COMPANY | 921 | $222K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 921 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.