| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $686K | — | $686K | 1.54% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 60694 | UNITEDHEALTHCARE INSURANCE COMPANY | $423K | — | $423K | 2.03% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | AETNA LIFE INSURANCE CO. | $243K | — | $243K | 2.31% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | DELTA DENTAL OF NEW YORK | $60K | — | $60K | 3.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN INC | $17K | — | $17K | 1.85% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $15K | $15K | 2.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 1.84% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | VISION SERVICE PLAN | $23K | — | $23K | 5.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES OF PR | 304 PONCE DE LEON AVE., SUITE 1000 SAN JUAN, PR 009191229 | TRIPLE S SALUD, INC. | $21K | — | $21K | 5.00% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CTR CHICAGO, IL 606949000 | UNITEDHEALTHCARE OF CALIFORNIA | $7K | — | $7K | 2.00% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $10K | — | $10K | 2.98% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $48 | $7K | 3.40% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE LLC DBA | HEWITT OF ILLINOIS INS AGENCY LLC 39030 TREASURY CENTER CHICAGO, IL 606949000 | HEALTH NET | $3K | — | $3K | 1.87% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $3K | — | $3K | 1.93% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | HEALTH NET | $2K | — | $2K | 1.83% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CTR CHICAGO, IL 606949000 | DELTA DENTAL OF NEW YORK | $2K | — | $2K | 2.99% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | HEALTH NET | $1K | — | $1K | 2.00% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | UPMC HEALTH OPTIONS | $1K | — | $1K | 1.84% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC - EXCHANGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | EYEMED VISION CARE | $2K | — | $2K | 4.75% |
| ROBERT MALLEY3 | HEWITT INSURANCE BROKERAGE, LLC. 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | PREVEA360 HEALTH PLAN INC | $750 | — | $750 | 1.92% |
| HEWITT INSURANCE BROKERAGE LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $584 | — | $584 | 1.81% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC - EXCHANGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | EYEMED VISION CARE | $1K | — | $1K | 4.46% |
| ROBERT MALLEY3 | HEWITT INSURANCE BROKERAGE, LLC. 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | DEAN HEALTH PLAN INC | $459 | — | $459 | 1.96% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $301 | — | $301 | 1.99% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC - EXCHANGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | EYEMED VISION CARE | $214 | — | $214 | 4.69% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $128 | — | $128 | 2.83% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $79 | — | $79 | 2.92% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $28 | — | $28 | 3.06% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $34 | — | $34 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LBI SOFTWARE ENGINEERING EIN 13-3118789 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $1.2M |
| HEWITT ASSOCIATES LLC EIN 36-2235791 NONE | Direct payment from the plan; Plan Administrator; Consulting (general) Service code 14 | — | $859K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-2781641 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $62K |
| KILPATRICK STOCKTON LLP NONE | Investment management; Direct payment from the plan Service code 28 | 1001 WEST FOURTH STREET WINSTON-SALEM, NC 271012400 | $31K |
| AXA EQUITABLE EIN 13-5570651 NONE | Copying and duplicating; Direct payment from the plan; Other services Service code 36 | — | $15K |
| GRAPHIC ARTS SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 460 DARTMOUTH CIR CINCINNATI, OH 45244 | $11K |
| GUIDESPARK INC NONE | Direct payment from the plan; Other services Service code 49 | 1400A SEAPORT BLVD, SUITE 500 REDWOOD CITY, CA 94063 | $8K |
| KELLY SERVICES INC EIN 38-1510762 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $6K |
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 | 6,318 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 85 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(12 contracts, 10 carriers) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 8,862 | $77.9M |
| Dental(10 contracts, 9 carriers) | AETNA LIFE INSURANCE CO. | 6,064 | $13.7M |
| Vision(6 contracts, 4 carriers) | VISION SERVICE PLAN | 2,999 | $931K |
| Prescription drug(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 6,064 | $11.1M |
| Other(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 7,956 | $680K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,862 | — |
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.