| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $57K | — | $57K | 1.56% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 0.27% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 0.06% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $34K | — | $34K | 1.74% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET SUITE 1710 BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 0.26% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $20K | — | $20K | 1.56% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET SUITE 1710 BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 0.27% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MIGHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $820 | $820 | 0.06% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 75320 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $145K | $12K | $156K | 15.42% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | PO BOX 202617 DALLAS, TX 75320 | AETNA LIFE INSURANCE COMPANY | $58K | — | $58K | 7.69% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 1.56% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET SUITE 1710 BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 0.27% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MIGHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $445 | $445 | 0.06% |
| NATIONAL BENEFITS GROUP3 | 6200 SHINGLE CREEK PARKWAY SUITE 385 MINNEAPOLIS, MN 55430 | PACIFIC LIFE INSURANCE COMPANY | $16K | — | $16K | 2.37% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 75320 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $92K | $10K | $102K | 16.90% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $70K | — | $70K | 15.29% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET SUITE 1710 BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 2.62% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 0.63% |
| ACS HUMAN RESOURCE SOLUTIONS, INC.3 Filed as: ACS HUMAN RESOURCES SOLUTIONS, INC. | BUCK CONSULTANTS, LLC PO BOX 202617 DALLAS, TX 75320 | HYATT LEGAL PLANS | $18K | — | $18K | 9.93% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA, INC | 806 TYVOLA ROAD SUITE 108 CHARLOTTE, NC 28290 | HYATT LEGAL PLANS | — | $95 | $95 | 0.05% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 10 S. WACKER DRIVE FLOOR 17 CHICAGO, IL 60634 | HYATT LEGAL PLANS | — | $57 | $57 | 0.03% |
| CONDUENT HR CONSULTING LLC3 | BOX 202617 DALLAS, TX 753202617 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $133 | — | $133 | 1.74% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET SUITE 1710 BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $20 | — | $20 | 0.26% |
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 | 12,198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,558 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,756 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(13 contracts, 12 carriers) | BLUE CROSS BLUE SHIELD OF HAWAII | 2,458 | $6.6M |
| Life insurance(4 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 19,423 | $6.0M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 62 | $8K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,860 | $1.9M |
| Other(4 contracts, 4 carriers) | JOHN HANCOCK LIFE INSURANCE COMPANY | 29,925 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 29,925 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.