| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 60694 | UNITEDHEALTHCARE INSURANCE COMPANY | $775K | — | $775K | 1.98% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | AETNA LIFE INSURANCE CO. | $435K | — | $435K | 2.01% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $471K | — | $471K | 5.05% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $158K | — | $158K | 2.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | DELTA DENTAL OF NEW YORK | $62K | — | $62K | 3.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN INC | $19K | — | $19K | 1.98% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $23K | — | $23K | 2.91% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN INC | $13K | — | $13K | 1.91% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CTR CHICAGO, IL 606949000 | VISION SERVICE PLAN | $24K | — | $24K | 4.88% |
| 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. | $23K | — | $23K | 5.71% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $79 | $8K | 3.53% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $4K | — | $4K | 1.94% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | UPMC HEALTH OPTIONS | $3K | — | $3K | 1.86% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | HEALTH NET | $2K | — | $2K | 2.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 4 OVERLOOK PARK LINCOLNSHIRE, IL 60069 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $2K | — | $2K | 2.04% |
| 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 | $2K | — | $2K | 1.89% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | HEALTH NET | $1K | — | $1K | 2.00% |
| ROBERT MALLEY3 | HEWITT INSURANCE BROKERAGE, LLC. 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | DEAN HEALTH PLAN INC | $1K | — | $1K | 1.79% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CTR CHICAGO, IL 606949000 | DELTA DENTAL OF NEW YORK | $2K | — | $2K | 3.02% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC - EXCHANGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | EYEMED VISION CARE | $3K | — | $3K | 5.07% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $847 | — | $847 | 2.06% |
| HEWITT INSURANCE BROKERAGE LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $831 | — | $831 | 2.03% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC - EXCHANGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | EYEMED VISION CARE | $2K | — | $2K | 5.50% |
| ROBERT MALLEY3 | HEWITT INSURANCE BROKERAGE, LLC. 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | PREVEA360 HEALTH PLAN | $517 | — | $517 | 2.10% |
| HEWITT INSURANCE BROKERAGE LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | GEISINGER QUALITY OPTIONS, INC. | $359 | — | $359 | 2.00% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC - EXCHANGE | 39030 TREASURY CENTER CHICAGO, IL 606949000 | EYEMED VISION CARE | $311 | — | $311 | 4.88% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $109 | — | $109 | 3.06% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $82 | — | $82 | 3.03% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $25 | — | $25 | 1.47% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE LLC | 39030 TREASURY CTR CHICAGO, IL 606949000 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $20 | — | $20 | 3.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LBI SOFTWARE ENGINEERING EIN 13-3118789 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $2.0M |
| HEWITT ASSOCIATES LLC EIN 36-2235791 NONE | Consulting (general); Direct payment from the plan; Plan Administrator Service code 14 | — | $857K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-2781641 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $68K |
| OPENHOUSE DIRECT INC. NONE | Direct payment from the plan; Other services Service code 49 | 18 HAMILTON ST STE 1 BOUND BROOK NEW JERSEY, NJ 088051768 | $22K |
| INHOUSE GRAPHICS SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 8417 OSWEGO ROAD SUITE 180 BALDWINSVILLE, NY 13027 | $10K |
| KELLY SERVICES INC EIN 38-1510762 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $10K |
| GUIDESPARK INC NONE | Direct payment from the plan; Other services Service code 49 | 1400A SEAPORT BLVD, SUITE 500 REDWOOD CITY, CA 94063 | $8K |
| KILPATRICK TOWNSEND LLP NONE | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | 1001 WEST FOURTH STREET WINSTON-SALEM, NC 271012400 | $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 | 6,201 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 117 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(13 contracts, 11 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 9,449 | $79.1M |
| Dental(10 contracts, 9 carriers) | AETNA LIFE INSURANCE CO. | 4,625 | $25.3M |
| Vision(6 contracts, 4 carriers) | VISION SERVICE PLAN | 2,687 | $997K |
| Prescription drug(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 4,329 | $22.2M |
| Other(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 7,846 | $664K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,449 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.