| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP A MARSH & MCLENNAN AGEN | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 194062772 | METROPOLITAN LIFE INSURANCE COMPANY | $131K | $46K | $177K | 4.07% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $31 | $31 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP A MARSH & MCLENNAN AGEN | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 194062772 | METROPOLITAN LIFE INSURANCE COMPANY | $50K | $34K | $83K | 2.10% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $31 | $31 | 0.00% |
| AON CONSULTING INC3 Filed as: HEWITT INSURANCE INC | 268 MUNOZ RIVERA AVE HATO REY, PR 00918 | HUMANA INSURANCE OF PUERTO RICO, INC. | $49K | — | $49K | 1.78% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 194062772 | VISION SERVICE PLAN | $22K | — | $22K | 1.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $22K | — | $22K | 0.99% |
| GLOBAL INSURANCE AGENCY, INC.3 | PO BOX 9023918 SAN JUAN, PR 009023918 | MONUMENTAL LIFE | $9K | — | $9K | 10.00% |
| JM INSURANCE SERVICES3 Filed as: H.A. INSURANCE SERVICES INC. | PO BOX 4926 SAN JUAN, PR 009194926 | MONUMENTAL LIFE | $4K | — | $4K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH LLC EIN 20-0446713 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $248K |
| AETNA HEALTH & HUMAN RESOURCE CTR EIN 33-0052273 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $25K |
| DELTA DENTAL OF PUERTO RICO, INC. EIN 68-0652604 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $19K |
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 | 12,024 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,399 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 966 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,389 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | HUMANA INSURANCE OF PUERTO RICO, INC. | 756 | $5.2M |
| Dental | DELTA DENTAL OF NJ, INC. | 10,737 | $9.4M |
| Vision | VISION SERVICE PLAN | 11,012 | $2.2M |
| Life insurance(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 25,935 | $8.4M |
| Stop-loss / reinsurancereinsurance | MONUMENTAL LIFE | 737 | $85K |
| Other | HUMANA INSURANCE OF PUERTO RICO, INC. | 756 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 25,935 | — |
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.