| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 412703 BOSTON, MA 02241 | HM LIFE INSURANCE COMPANY OF NEW YORK | — | — | $0 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY | $61K | $9K | $70K | 11.06% |
| PLANSOURCE BENEFITS ADMINISTRATION | 101 S GARLAND AVE STE 203 ORLANDO, FL 328013277 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 0.48% |
| MARSH & MCLENNAN AGENCY LLC4 | PO BOX 350 CONSHOHOCKEN, PA 19428 | CIGNA | $5K | — | $5K | 0.83% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $2K | $11K | 10.90% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $1K | $9K | 13.26% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $1K | $9K | 13.25% |
| MARSH & MCLENNAN AGENCY LLC2 Filed as: MARSH & MCLENNAN AGENCY LLC SE | 300W 10TH STREET WEST POINT, GA 31833 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA, INC. | 161 WASHINGTON ST, SUIT 1200 CONSHOHOCKEN, PA 19428 | METROPOLITAN GENERAL INSURANCE COMPANY | $2K | — | $2K | 5.96% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA, INC. | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | METROPOLITAN GENERAL INSURANCE COMPANY | $1K | $111 | $1K | 4.54% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA INC. D/B/A PROGRESSIVE BE | P.O. BOX 12748 ROANOKE, VA 24028 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $156 | $156 | 0.57% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA, INC. | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $141 | $141 | 0.51% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH & MCLENNAN AGENCY-RJF DIVISIO | 33213 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $101 | $101 | 0.37% |
| MARSH & MCLENNAN AGENCY LLC Filed as: TRION GROUP A MARSH & MCLENNAN AGEN | 161 WASHINGTON ST, SUIT 1200 CONSHOHOCKEN, PA 19428 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $99 | $99 | 0.36% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL INSURANCE SERVICE | 2375 E CAMELBACK RD STE 250 PHOENIX, AZ 85016 | DELTA DENTAL OF MICHIGAN | $515 | $0 | $515 | 3.92% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH & MCLENNAN AGENCY, LLC--ANDRE | 6160 GOLDEN HILLS DR MINNEAPOLIS, MN 55416 | DELTA DENTAL OF MICHIGAN | $503 | $0 | $503 | 3.83% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP, A MARSH & MCLENNAN AGE | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | EYEMED VISION | $1K | — | $1K | 19.48% |
| MARSH & MCLENNAN AGENCY LLC3 | 15150 NW 79TH CT SUITE 200 MIAMI LAKES, FL 33016 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $552 | $46 | $598 | 21.67% |
| MULTIPLE - DETAIL UPON REQUEST3 | PO BOX 6 HAMBURG, NY 14075 | AFLAC | $144 | $0 | $144 | 10.48% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY -- WAGNER | $0 | $99 | $99 | — |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY -- WAGNER | $0 | $99 | $99 | — |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH USA LLC | PO BOX 412703 BOSTON, MA 022410001 | METROPOLITAN LIFE INSURANCE COMPANY -- WAGNER | $0 | $99 | $99 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK WESTERN AND NORTHEASTERN N EIN 16-1105741 SERVICE PROVIDER | Plan Administrator Service code 14 | — | $854K |
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 | 1,387 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,407 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 653 | $162K |
| Dental(2 contracts, 2 carriers) | CIGNA | 1,058 | $563K |
| Vision(4 contracts) | EYEMED VISION | 1,821 | $71K |
| Short-term disability | AFLAC | 3 | $1K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY OF NEW YORK | 1,097 | $1.3M |
| Other(9 contracts, 8 carriers) | HM LIFE INSURANCE COMPANY OF NEW YORK | 1,884 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,884 | — |
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."
No prospect flags tripped on this filing.