| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEWITT INSURANCE BROKERAGE LLC Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $314K | $314K | 15.58% |
| HEWITT INSURANCE BROKERAGE LLC Filed as: HEWITT INSURANCE BROKERAGE | 4 OVERLOOK POINT 40B-3S LINCOLNSHIRE, IL 60069 | CIGNA LIFE INSURANCE CO. OF NEW YORK | — | $1K | $1K | 0.40% |
| HEWITT INSURANCE BROKERAGE LLC Filed as: HEWITT INSURANCE BROKERAGE | 4 OVERLOOK POINT 40B-3S LINCOLNSHIRE, IL 60069 | CIGNA LIFE INSURANCE CO. OF NEW YORK | — | $607 | $607 | 0.43% |
| AON CONSULTING INC Filed as: AON CONSULTING | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $7K | $7K | 8.68% |
| HEWITT INSURANCE BROKERAGE LLC Filed as: HEWITT INSURANCE BROKERAGE | 4 OVERLOOK POINT 40B-3S LINCOLNSHIRE, IL 60069 | CIGNA LIFE INSURANCE CO. OF NEW YORK | — | $204 | $204 | 0.35% |
| HEWITT INSURANCE BROKERAGE LLC Filed as: HEWITT INSURANCE BROKERAGE | 4 OVERLOOK POINT 40B-3S LINCOLNSHIRE, IL 60058 | CIGNA LIFE INSURANCE CO. OF NEW YORK | — | $90 | $90 | 0.54% |
| AON CONSULTING INC Filed as: AON CONSULTING | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $506 | $506 | 10.00% |
| PRINCIPAL RISK ADVISORS, INC. | 4409 MONTROSE BOULEVARD HOUSTON, TX 77006 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | $700 | $700 | 15.01% |
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 | 717 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 731 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,827 | $2.1M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,827 | $2.1M |
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 1,424 | $71K |
| Life insurance | CIGNA LIFE INSURANCE CO. OF NEW YORK | 743 | $142K |
| Long-term disability | CIGNA LIFE INSURANCE CO. OF NEW YORK | 743 | $278K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,827 | $2.0M |
| Other(5 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 743 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,827 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.