| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEWPORT GROUP SECURITIES, INC.3 | 300 INTERNATIONAL PARKWAY SUITE 270 HEATHROW, FL 32746 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $339K | — | $339K | 4.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $9.5M |
| ANTHEM BLUE CROSS & BLUE SHIELD EIN 31-1440175 NONE | Contract Administrator; Claims processing; Other services; Direct payment from the plan; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $4.0M |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $2.5M |
| MAGELLAN HEALTH SERVICES EIN 52-2135463 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $996K |
| MERCER EIN 20-1932099 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Participant communication Service code 13 | — | $974K |
| HEALTHWAYS NONE | Direct payment from the plan; Consulting (general) Service code 16 | 701 COOL SPRINGS BLVD FRANKLIN, TN 37067 | $545K |
| WILLIS TOWERS WATSON ACTUARY SERVIC EIN 53-0181291 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $455K |
| EDINBURGH NONE | Direct payment from the plan; Securities brokerage commissions and fees; Soft dollars commissions; Investment management fees paid directly by plan; Investment management Service code 28 | — | $370K |
| NISA INVESTMENT ADVISORS EIN 48-1140940 NONE | Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $318K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Named fiduciary; Trustee (bank, trust company, or similar financial institution); Direct payment from the plan; Custodial (other than securities); Trustee (directed); Other services; Float revenue; Account maintenance fees; Custodial (securities); Valuation (appraisals, etc.) Service code 18 | — | $286K |
| SANDS CAPITAL EIN 20-2830751 NONE | Direct payment from the plan; Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $264K |
| VONTOBEL NONE | Redemption fees; Soft dollars commissions; Direct payment from the plan; Investment management Service code 28 | — | $251K |
| TEMPLETON INVESTMENT COUNCIL LLC EIN 94-3385113 NONE | Soft dollars commissions; Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | — | $236K |
| WELLINGTON TRUST COMPANY EIN 04-2683227 NONE | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | — | $174K |
| JP MORGAN INVESTMENT MANAGEMENT INC EIN 13-3200244 NONE | Investment advisory (plan); Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 27 | — | $158K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $83K |
| AON EIN 36-3051915 NONE | Consulting (general); Other services; Direct payment from the plan Service code 16 | — | $75K |
| TOWERS WATSON INVESTMENT SERVICES EIN 52-1868818 NONE | Consulting (general); Investment advisory (plan); Consulting fees; Direct payment from the plan Service code 16 | — | $75K |
| KOHLBERG ASSOCIATES EIN 20-1147041 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $37K |
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 | 17,188 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16,910 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 34,098 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | FIRSTCARE HEALTH PLANS | 362 | $1.7M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 740 | $8.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 740 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.