| 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 | — | $2K | $2K | 1.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, INC. | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $2K | $2K | 1.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, INC. | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $715 | $715 | 1.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STANDISH MELLON ASSET MGMT CO LLC EIN 25-1890416 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan; Direct payment from the plan Service code 28 | — | $120K |
| KPMG LLP EIN 13-5565207 PLAN AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $84K |
| WILLIS TOWERS WATSON EIN 26-0775680 HRA ADMINISTRATION | Direct payment from the plan; Other fees; Other services Service code 49 | — | $79K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE,INV ADV AND MGMT | Account maintenance fees; Trustee (directed); Trustee (bank, trust company, or similar financial institution); Investment management; Float revenue; Other investment fees and expenses; Investment management fees paid directly by plan; Other fees; Direct payment from the plan; Investment advisory (plan) Service code 21 | — | $73K |
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 THIRD-PARTY ADMINISTRATO | Other services; Recordkeeping fees; Participant communication; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 12 | — | $60K |
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 THIRD-PARTY ADMINISTRATO | Other services; Recordkeeping fees; Participant communication; Non-monetary compensation; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Direct payment from the plan; Contract Administrator Service code 12 | — | $31K |
| CROWE HORWATH LLP EIN 35-0921680 FINANCIAL STATEMENT PREP | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $19K |
| ERNST & YOUNG LLP EIN 34-6565596 TAX FORM PREPARERS | Direct payment from the plan; Consulting (general) Service code 16 | — | $9K |
| PRIME THERAPEUTICS LLC EIN 26-0076803 PHARMACY BENEFIT MANAGER | Recordkeeping fees; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Participant communication; Float revenue; Direct payment from the plan; Contract Administrator Service code 12 | — | $6K |
| AON CONSULTING, INC. EIN 22-2232264 FORM 5500 PREPARER | Direct payment from the plan; Consulting (general) Service code 16 | — | $5K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 THIRD PARTY ADMINISTRATO | Float revenue; Other services Service code 49 | — | $0 |
| CIGNA HEALTH AND LIFE INSURANCE CO4 | Float revenue; Other services Service code 49 | — | $0 |
| NORTHERN TRUST CORPORATION EIN 36-2723087 TRUSTEE | Soft dollars commissions; Investment management fees paid indirectly by plan; 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 | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 2 | $23K |
| Life insurance(3 contracts) | AETNA LIFE INSURANCE COMPANY | 923 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 923 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.