| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC | BANK OF AMERICA PO BOX 416315 BOSTON, MA 02241 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $6K | $6K | 0.72% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC. | PO BOX 416315 BOSTON, MA 02241 | METROPOLITAN LIFE INSURANCE COMPANY | — | $61 | $61 | 0.01% |
| DRB EMPLOYEE BEN. SERVICES INC.3 | 2400 OXFORD DR., STE 414 BETHEL PARK, PA 15102 | HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA | $3K | — | $3K | 3.25% |
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 | 927 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 941 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,611 | $513K |
| Vision | HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA | 614 | $106K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 927 | $775K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 927 | $775K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 927 | $775K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 927 | $775K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,611 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.