| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | P.O. BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $60K | $89K | $149K | 2.98% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $31K | $31K | $61K | 2.54% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | UNUM INSURANCE COMPANY | $180K | $17K | $197K | 21.85% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | FIRST UNUM LIFE INSURANCE COMPANY | — | $1K | $1K | 1.25% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS AND BLUE SHIELD NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | P.O. BOX 60007 LOS ANGELES, CA 95670 | $3.5M |
| EXPRESS SCRIPTS NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 1 EXPRESS WAY ST. LOUIS, MO 63121 | $1.0M |
| UNITEDHEALTHCARE INSURANCE COMPANY EIN 36-2739571 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $810K |
| WILLIS TOWERS WATSON US LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | P.O. BOX 28852 NEW YORK, NY 10087 | $306K |
| DELTA DENTAL OF MISSOURI NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | P.O BOX 8690 ST. LOUIS, MO 63126 | $253K |
| ERNST & YOUNG LLP NONE | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | ONE MANHATTAN WEST 395 9TH AVENUE NEW YORK, NY 10001 | $59K |
| RUBINBROWN LLP EIN 43-0765316 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| THE SEGAL GROUP, INC. EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $13K |
| GARLICH PRINTING COMPANY NONE | Direct payment from the plan; Participant communication; Copying and duplicating Service code 36 | 525 RUDDER ROAD FENTON, MO 63026 | $8K |
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 | 6,570 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 188 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,758 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC. (BLUECROSS BLUESHIELD) | 280 | $2.0M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 12,186 | $539K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 13,614 | $5.0M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 4,748 | $2.4M |
| Long-term disability(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 13,614 | $7.5M |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 13,614 | $6.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,614 | — |
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.