| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | 199 WATER STREET, 12TH FLOOR NEW YORK, NY 10038 | HCC LIFE INSURANCE COMPANY | — | $44K | $44K | 1.83% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | 29840 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | — | $113 | $113 | 0.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | METROPOLITAN LIFE INSURANCE COMPANY | $30K | $4K | $34K | 15.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPYREAN BENEFIT SOLUTIONS, INC EIN 20-3029813 NONE | Actuarial Service code 11 | — | $878K |
| EAG BROADWAY, LLC EIN 87-1786121 PRFRMS SVS FOR PL. SPONSR | Accounting (including auditing) Service code 10 | — | $578K |
| METROPOLITAN LIFE INSURANCE CO. EIN 13-5581829 NONE | Contract Administrator; Claims processing Service code 12 | — | $458K |
| AON HEWITT ASSOCIATES LLC EIN 36-2235791 PRFRMS SVS FOR PL. SPONSR | Actuarial Service code 11 | — | $225K |
| WRITE ON TARGET, INC. EIN 31-1431575 NONE | Actuarial Service code 11 | — | $78K |
| WEAVER AND TIDWELL, LLP EIN 75-0786316 PRFRMS SVS FOR REL. PLANS | Accounting (including auditing) Service code 10 | — | $58K |
| DLA PIPER LLP EIN 52-0616490 PRFRMS SVS FOR PL. SPONSR | Legal Service code 29 | — | $44K |
| EXECUTIVE MEDICAL SERVICES P.C. EIN 22-3712962 NONE | Actuarial Service code 11 | — | $32K |
| BENEFIT ANALYSIS CORPORATION EIN 31-1130307 NONE | Actuarial Service code 11 | — | $13K |
| WINSTON & STRAWN LLP EIN 04-3603790 PRFRMS SVS FOR PL. SPONSR | Legal Service code 29 | — | $8K |
| MERCER HEALTH & BENEFITS LLC EIN 34-2015463 NONE | Actuarial Service code 11 | — | $7K |
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 | 11,948 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 55 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,003 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC | 2,044 | $8.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,060 | $539K |
| Vision | VISION SERVICE PLAN | 6,665 | $1.4M |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC | 625 | $8.2M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 7,967 | $2.4M |
| Other | HEADSPACE, INC. | 11,323 | $792K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,323 | — |
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.