| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PL CHICAGO, IL 60673 | AETNA LIFE INSURANCE CO. | $52K | — | $52K | 1.91% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PL CHICAGO, IL 60673 | AETNA LIFE INSURANCE CO. | $14K | — | $14K | 1.90% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PL CHICAGO, IL 60673 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 1.90% |
| AON CONSULTING INC3 Filed as: AON CORPORATION | 29840 NETWORK PLACE CHICAGO, IL 60673 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC | $1K | — | $1K | 3.19% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PL CHICAGO, IL 60673 | AETNA LIFE INSURANCE CO. | $484 | — | $484 | 1.90% |
| AON CONSULTING INC3 Filed as: AON CORPORATION | 29840 NETWORK PLACE CHICAGO, IL 60673 | AETNA LIFE INSURANCE CO. | $195 | — | $195 | 1.90% |
| AON CONSULTING INC3 Filed as: AON HEWITT - RADNOR PA | 29840 NETWORK PLACE CHICAGO, IL 60673 | DELTA DENTAL OF PENNSYLVANIA | $285 | — | $285 | 2.99% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | COMBINED INSURANCE COMPANY OF AMERICA | $148 | — | $148 | 4.95% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PL CHICAGO, IL 60673 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $33 | — | $33 | 3.23% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK INC. EIN 23-1294723 SERVICE PROVIDER | Claims processing Service code 12 | — | $281K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 SERVICE PROVIDER | Claims processing Service code 12 | — | $32K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,157 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC | 5 | $43K |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 20 | $10K |
| Vision | COMBINED INSURANCE COMPANY OF AMERICA | 48 | $3K |
| Life insurance | AETNA LIFE INSURANCE CO. | 3,073 | $2.7M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3 | $1K |
| Prescription drug | HEALTH OPTIONS, INC. | 32 | $486K |
| Other | AETNA LIFE INSURANCE CO. | 3,073 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,073 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.