| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PRUDENTIAL INSURANCE CO OF AMERICA | $133K | $0 | $133K | 2.20% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | P.O. BOX 310550 DES MOINES, IA 503310541 | METLIFE LEGAL PLANS | $0 | $240K | $240K | 15.10% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS | P.O. BOX 310502 DES MOINES, IA 503310502 | METLIFE LEGAL PLANS | $111K | $0 | $111K | 6.98% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HB ADMINISTRATION, LLC | P.O. BOX 310502 DES MOINES, IA 503310542 | METLIFE LEGAL PLANS | $0 | $16K | $16K | 1.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER H&B ADMINISTRATION, LLC | P.O. BOX 850502 MINNEAPOLIS, MN 55485 | METLIFE LEGAL PLANS | $0 | $2K | $2K | 0.12% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | NATIONAL UNION/CHARTIS | $144K | $0 | $144K | 12.50% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | NATIONAL UNION/CHARTIS | $39K | $0 | $39K | 15.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | NATIONAL UNION/CHARTIS | $0 | $0 | $0 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH EXECUTIVE BENEFITS INC. | P.O. BOX 27447 NEW YORK, NY 100877447 | METROPOLITAN LIFE INSURANCE COMPANY | $235 | $0 | $235 | 2.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 MEDICAL ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $8.3M |
| UNITED HEALTHCARE EIN 22-1211670 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $5.4M |
| EXPRESS SCRIPTS EIN 43-1420563 RX ADMIN. FEES | Contract Administrator Service code 13 | 1 EXPRESS WAY ST. LOUIS, MO 63121 | $3.3M |
| VIRGIN PULSE, INC. EIN 20-2547480 MEDICAL ADMINISTRATOR | Contract Administrator Service code 13 | 75 FOUNTAIN STREET PROVIDENCE, RI 02902 | $2.3M |
| COHNREZNICK LLP EIN 22-1478099 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $60K |
| PRICEWATERHOUSE COOPERS LLP EIN 13-4008324 CONSULTING | Consulting (general) Service code 16 | — | $45K |
| WINSTON AND STRAWN LLP EIN 36-1975990 LEGAL | Legal Service code 29 | — | $31K |
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 | 34,539 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 154 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 34,693 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(12 contracts, 10 carriers) | KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA INC. | 6,328 | $17.8M |
| Dental(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 6,328 | $2.3M |
| Vision | VISION SERVICE PLAN | 22,967 | $3.3M |
| Life insurance | PRUDENTIAL INSURANCE CO OF AMERICA | 34,800 | $4.8M |
| Long-term disability | PRUDENTIAL INSURANCE CO OF AMERICA | 24,788 | $6.0M |
| Prescription drug(10 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA INC. | 6,328 | $17.6M |
| Other(8 contracts, 5 carriers) | METLIFE LEGAL PLANS | 34,539 | $3.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 34,800 | — |
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.