| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON COALITION PURCHASING GROUP | 29840 NETWORK PL CHICAGO, IL 606731298 | METLIFE | $5K | $0 | $5K | 1.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRUDENTIAL EIN 22-1211670 NONE | Investment management fees paid directly by plan; Insurance mortality and expense charge Service code 51 | — | $1.9M |
| CONEXIS (DIVISION OF WAGEWORKS, INC NONE | Claims processing Service code 12 | 6191 STATE HIGHWAY 161 #400 IRVING, TX 75038 | $91K |
| VIA BENEFITS INSURANCE SERVICES NONE | Claims processing Service code 12 | 10975 S. STERLING VIEW DR. SOUTH JORDAN, UT 84095 | $38K |
| BAKER TILLY US, LLP EIN 39-0859910 NONE | Accounting (including auditing) Service code 10 | — | $25K |
| JP MORGAN CHASE MANHATTAN BANK EIN 13-6755490 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $17K |
| WILLIS TOWERS WATSON EIN 53-0181291 NONE | Actuarial Service code 11 | — | $13K |
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 | 2,281 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,281 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METLIFE | 2,027 | $419K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,027 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.