| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS LLC | P.O. BOX 730182 DALLAS, TX 753730182 | DELTA DENTAL OF PENNSYLVANIA | $13K | $0 | $13K | 2.00% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | 4 EVER LIFE INSURANCE COMPANY (FORMERLY BCS LIFE) | $14K | $39K | $53K | 11.49% |
| MERCER HEALTH AND BENEFITS, LLC5 Filed as: MERCER HEALTH & BENEFITS LLC | P.O. BOX 730182 DALLAS, TX 753730182 | RELIANCE STANDARD LIFE INSURANCE CO | $5K | $697 | $6K | 4.56% |
| MERCER HEALTH AND BENEFITS, LLC5 Filed as: MERCER HEALTH & BENEFITS LLC | SIX PPG PLACE SUITE 400 PITTSBURGH, PA 15222 | SYMETRA LIFE INSURANCE CO | $2K | $0 | $2K | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC5 Filed as: MERCER HEALTH & BENEFITS, LLC | SIX PPG PLACE SUITE 400 PITTSBURGH, PA 15222 | HIGHMARK | $156K | $41K | $197K | — |
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 | 1,507 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,591 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK | 1,035 | $0 |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 1,145 | $642K |
| Life insurance | 4 EVER LIFE INSURANCE COMPANY (FORMERLY BCS LIFE) | 1,591 | $458K |
| Short-term disability | 4 EVER LIFE INSURANCE COMPANY (FORMERLY BCS LIFE) | 1,591 | $458K |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE CO | 1,095 | $170K |
| Prescription drug | HIGHMARK | 1,035 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,591 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.