| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 0.33% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 0.33% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $34 | $34 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STATE STREET AND TRUST COMPANY EIN 04-1867445 N/A | Trustee (directed) Service code 25 | — | $294K |
| ADVISORY RESEARCH EIN 36-2831881 N/A | Investment management fees paid directly by plan Service code 51 | — | $147K |
| SAILING STONE EIN 46-4114066 N/A | Investment management fees paid directly by plan Service code 51 | — | $124K |
| NEUBERGER BERMAN EIN 13-5521910 N/A | Investment management fees paid directly by plan Service code 51 | — | $43K |
| JEFFRIES & COMPANY EIN 95-4719745 N/A | Securities brokerage Service code 33 | — | $31K |
| CITIBANK CANADA EIN 13-5266470 N/A | Securities brokerage Service code 33 | — | $9K |
| INCOME RESEARCH & MANAGEMENT EIN 04-2955404 N/A | Investment management fees paid directly by plan Service code 51 | — | $6K |
| AG REALTY FUND IX, LP EIN 47-1483532 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| AH BIO FUND III, LP EIN 84-4198582 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| AH BIO FUND IV, LP EIN 87-3120948 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| ALTAS PARTNERS HOLDINGS II LP EIN 98-1462135 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| ALTAS PARTNERS HOLDINGS III, LP EIN 98-1625517 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| AMANSA FEEDER LTD N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| ANDREESSEN HOROWITZ LSV FUND III, L EIN 87-3090780 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| ARCM FEEDER FUND IV, LTD N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| ASHE CAPITAL PARTNERS LP EIN 46-2984066 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| ATTESTOR VALUE FUND, LP EIN 30-0719762 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| BAIN CAPITAL EUROPE FUND V, LP EIN 98-1437103 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| BAIN CAPITAL EUROPE FUND VI, LP EIN 98-1639196 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| BAIN CAPITAL FUND XII, LP EIN 98-1352571 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| BAIN CAPITAL FUND XIII, LP EIN 61-1985674 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| BAIN CAPITAL TECH OPPORTUNITIES FUN EIN 98-1504456 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| BAUPOST VALUE PARTNERS, LP - I EIN 04-3506440 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| BIL LTD N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| BIOTECHNOLOGY VALUE FUND II LP EIN 36-3924730 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| BLACKSTONE BIOMED LIFE SCIENCE REAL EIN 85-3225729 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| BLACKSTONE REAL ESTATE PARTNERS VII EIN 47-3260122 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| CABOT INDUSTRIAL VALUE FUND V, LP EIN 81-4218409 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| CALEDONIA CO-INVEST OFFSHORE FUND L N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| CALEDONIA FUND LTD N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| CANTILLON GLOBAL EQUITY FUND N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| CARRONADE CAPITAL PARTNERS, LP EIN 85-0745592 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| CARTER-HASTON MULTIFAMILY VALUE FUN EIN 87-2582599 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| CASTLEFORGE PARTNERS III, LP EIN 98-1479506 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| CD&R FUND X, LP EIN 98-1319473 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| CD&R FUND XI, LP EIN 98-1524650 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| CORE EQUITY HOLDINGS LP EIN 98-1449507 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| CYRUS OPPORTUNITIES FUND II LTD N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| DARSANA OVERSEAS FUND LTD EIN 98-1179499 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| DECCAN VALUE INVESTORS BPI FUND LP EIN 36-4717440 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| DEFINE VENTURES FUND III, LP EIN 88-2949955 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| DEFINE VENTURES OPPORTUNITIES II/II EIN 88-2968986 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| DP LIQUIDATING FUND LP N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | 300 DRAKES LANDING ROAD, SUITE 290 GREENBRAE, CA 94904 | $0 |
| DURABLE CAPITAL ONSHORE FUND LP EIN 84-2716952 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| DURABLE CAPITAL OPPORTUNITIES FUND, EIN 85-3587215 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| EVERSIDE FUND II, LP EIN 83-4214967 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| FALCON HOUSE PARTNERS FUND II, LP EIN 98-1300918 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| FCOI II HOLDINGS, LP EIN 98-0467284 N/A | Investment management fees paid indirectly by plan; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 40 | — | $0 |
| FELICIS FOCUS FUND I, LP EIN 87-1747950 N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | — | $0 |
| FELICIS VENTURES IX, LP N/A | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Investment management fees paid indirectly by plan Service code 40 | 2460 SAND HILL ROAD, SUITE 100 MENLO PARK, CA 94025 | $0 |
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 | 3,915 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,915 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH, INC. | 198 | $772K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 3,924 | $1.2M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,785 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,924 | — |
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.