| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $200K | — | $200K | 2.03% |
| WILLIS TOWERS WATSON US LLC7 Filed as: TOWERS WATSON DELAWARE, INC. | 901 N. GLEBE ROAD ARLINGTON, VA 22203 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $28K | — | $28K | 1.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON BC/BS OF NJ EIN 22-0999690 CONTRACT ADMINISTRATOR | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $6.6M |
| AETNA EIN 06-6033492 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $2.2M |
| EXPRESS SCRIPTS INC. EIN 43-1420563 CONTRACT ADMINISTRATOR | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $594K |
| METROPOLITAN LIFE INSURANCE CO. EIN 13-5581829 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $452K |
| WELLS CAPITAL MGMT INC EIN 95-3692822 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $405K |
| CIGNA LTD. EIN 06-0303370 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $394K |
| INCOME RESEARCH & MANAGEMENT EIN 04-2955404 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $358K |
| JP MORGAN INVESTMENT MGMT INC. EIN 13-3200244 NONE | Direct payment from the plan; Investment management; Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $331K |
| ACTIVE HEALTH EIN 52-2182411 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $209K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities); Custodial (other than securities); Direct payment from the plan Service code 18 | — | $35K |
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 | 24,342 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,916 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 30,258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 804 | $2.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 804 | $2.3M |
| Life insurance(11 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 29,452 | $23.8M |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 804 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 29,452 | — |
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.