| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK CONSULTANTS LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $28K | $28K | 0.50% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $4K | $4K | 0.07% |
| BUCK CONSULTANTS LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $20K | $20K | 0.50% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 0.07% |
| BUCK CONSULTANTS LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $13K | $13K | 0.50% |
| BUCK CONSULTANTS LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $8K | $8K | 0.50% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MIGHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 0.07% |
| BUCK CONSULTANTS LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 0.50% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MIGHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $707 | $707 | 0.07% |
| NATIONAL BENEFITS GROUP3 | 1550 UTICA AVENUE SUITE 400 MINNEAPOLIS, MN 55416 | PACIFIC LIFE INSURANCE COMPANY | $25K | — | $25K | 2.42% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 75320 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $176K | — | $176K | 19.21% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 75320 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $113K | — | $113K | 17.44% |
| ACS HUMAN RESOURCE SOLUTIONS, INC.3 Filed as: ACS HUMAN RESOURCES SOLUTIONS, INC. | BUCK CONSULTANTS, LLC 500 PLAZA DRIVE SECAUCUS, NJ 07096 | HYATT LEGAL PLANS | $13K | — | $13K | 7.49% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | DEPT CH 14061 PALATINE, IL 60055 | AETNA LIFE INSURANCE COMPANY | $79K | — | $79K | 100.00% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $205 | $205 | 0.50% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $44 | $44 | 0.50% |
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 | 15,643 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,487 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 21,130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(14 contracts, 13 carriers) | KAISER FOUNDATION HEALTH PLANS, INC. OF NORTHERN CALIFORNIA | 2,548 | $6.9M |
| Life insurance(5 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 23,803 | $12.2M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 72 | $9K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,451 | $2.6M |
| Other(4 contracts, 4 carriers) | JOHN HANCOCK LIFE INSURANCE COMPANY | 23,016 | $3.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,803 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.