| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRION GROUP, INC.3 | 2300 RENAISSANCE BLVD KING PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $6K | $6K | 1.38% |
| TRION GROUP, INC.3 | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $2K | $2K | 1.38% |
| TRION GROUP, INC.3 | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | AETNA LIFE INSURANCE COMPANY | — | $628 | $628 | 1.38% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC. | DBA TRION GROUP, MMC COMPANY 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $575 | $575 | 23.20% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE. SUITE 1100 CHICAGO, IL 606036115 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $101 | $101 | 4.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXPRESS SCRIPTS HOLDING COMPANY EIN 22-3461740 PHARMACY BENEFIT MANAGER | Other services; Contract Administrator; Recordkeeping fees; Claims processing; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 12 | — | $267K |
| VISION SERVICE PLAN EIN 23-7089668 THIRD-PARTY ADMINISTRATO | Recordkeeping fees; Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Participant communication; Claims processing Service code 12 | — | $219K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE & INVESTMENT ADV | Other fees; Account maintenance fees; Investment advisory (plan); Investment management; Trustee (directed); Other investment fees and expenses; Float revenue; Direct payment from the plan; Investment management fees paid indirectly by plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan Service code 21 | — | $101K |
| TOWERS WATSON & CO. EIN 26-0775680 RX COLLABORATIVE SPONSOR | Other services; Direct payment from the plan; Other fees Service code 49 | — | $76K |
| COTIVITI HEALTHCARE EIN 46-0634974 OVERPAYMENT RECOVERY FIR | Other services Service code 49 | — | $0 |
| THE RAWLINGS GROUP EIN 31-1563156 OVERPAYMENT RECOVERY FIR | 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 | 1,973 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,973 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HEALTH ALLIANCE PLAN | 0 | $45K |
| Dental | DELTA DENTAL OF MICHIGAN | 5,642 | $2.6M |
| Life insurance(3 contracts) | AETNA LIFE INSURANCE COMPANY | 1,141 | $604K |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 464 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,642 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.