| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAUL BURNS3 | 200 GALLERIA PKWY NW SUITE 1900 ATLANTA, GA 30339 | BLUERE OF TENNESSEE | — | $10K | $10K | 0.36% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | PO BOX 202617 DALLAS, TX 75320 | AETNA LIFE INSURANCE COMPANY | — | $19K | $19K | 0.72% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | 200 BERWYN PARK BERWYN, PA 19312 | AETNA LIFE INSURANCE COMPANY | — | $9K | $9K | 0.35% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 75320 | MINNESOTA LIFE INSURANCE COMPANY | $12K | $15K | $28K | 4.05% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 75320 | MINNESOTA LIFE INSURANCE COMPANY | $9K | $11K | $20K | 4.04% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 75320 | MINNESOTA LIFE INSURANCE COMPANY | $2K | $3K | $5K | 4.07% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 75320 | MINNESOTA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 4.02% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | P.O. BOX 905494 CHARLOTTE, NC 28290 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $18K | — | $18K | 32.13% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | P.O. BOX 905494 CHARLOTTE, NC 28290 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 15.83% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | P.O. BOX 905494 CHARLOTTE, NC 28290 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $614 | — | $614 | 9.54% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | P.O. BOX 905494 CHARLOTTE, NC 28290 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $971 | — | $971 | 20.81% |
No Schedule C service providers reported on this filing.
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 | 11,817 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 92 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 319 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUERE OF TENNESSEE | 11,489 | $2.9M |
| Dental | HMSA-BLUE CROSS BLUE SHIELD OF HAWAII | 20 | $9K |
| Vision(2 contracts) | EYEMED VISION CARE | 11,164 | $646K |
| Life insurance(4 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 10,489 | $1.4M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 11,056 | $2.6M |
| Long-term disability(5 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 11,056 | $2.7M |
| Other(5 contracts, 2 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 11,817 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,817 | — |
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.