| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO | — | SUN LIFE ASSURANCE COMPANY OF CANADA | $114K | — | $114K | 1.15% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | SUN LIFE ASSURANCE COMPANY OF CANADA | $25K | — | $25K | 0.25% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | PO BOX 6180 CAROL STREAM, IL 60197 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $146K | — | $146K | 15.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO | — | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $2K | — | $2K | 1.48% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $282 | — | $282 | 0.17% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC D/B/A INTEGRO IB | — | METROPOLITAN LIFE INSURANCE COMPANY | $61K | $3K | $64K | 40.37% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP A MARSH & MCLENNAN AGEN | — | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 2.97% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO | PO BOX 5682 CAROL STREAM, IL 60197 | SUN LIFE ASSURANCE COMPANY OF CANADA | $34 | — | $34 | 0.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4 | — | $4 | 0.11% |
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 | 19,306 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 460 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 235 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,001 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | GEISINGER QUALITY OPTIONS | 801 | $19.2M |
| Dental | HMSA | 26 | $129K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 22,786 | $9.9M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 8 | $4K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 22,786 | $9.9M |
| Prescription drug | TRIPLE-S SALUD, INC. | 30 | $415K |
| Other(5 contracts, 5 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 20,001 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,786 | — |
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.