| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS & COMP SYSTEMS3 | 101 PARK AVENUE 14TH FLOOR NEW YORK, NY 10178 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $25K | — | $25K | 0.27% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION SY | 101 PARK AVE 14TH FLOOR NEW YORK, NY 10178 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $84K | — | $84K | 1.18% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 0.05% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $7K | $7K | 0.18% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION SY | 101 PARK AVE 14TH FLOOR NEW YORK, NY 10178 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | -$167K | — | -$167K | -4.04% |
| MERCER HEALTH AND BENEFITS, LLC5 Filed as: MERCER HEALTH & BENEFITS | 1166 AVENUE OF THE AMERICAS 23RD FLOOR NEW YORK, NY 10036 | ACE AMERICAN INSURANCE COMPANY | $23K | — | $23K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MELLON CAPITAL MANAGEMENT EIN 25-1442864 NONE | Securities brokerage; Investment management fees paid directly by plan; Other services; Securities brokerage commissions and fees; Investment management fees paid indirectly by plan; Direct payment from the plan; Investment management; Soft dollars commissions Service code 28 | — | $320K |
| GRANTHAM,MAYO,VAN OTTERLOO&CO (GMO) EIN 04-2691242 NONE | Investment management fees paid indirectly by plan; Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $225K |
| COMPSYCH EIN 35-3739783 NONE | Other insurance fees and expenses; Contract Administrator Service code 13 | — | $122K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 TRUSTEE | Investment management fees paid directly by plan; Custodial (securities); Custodial (other than securities); Trustee (bank, trust company, or similar financial institution); Direct payment from the plan; Investment management; Other services Service code 18 | — | $122K |
| STANDISH MELLON ASSET EIN 25-1890416 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $84K |
| AON HEWITT INVESTMENT EIN 36-3109431 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $42K |
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 | 80,466 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,811 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 87,277 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(15 contracts, 15 carriers) | KAISER FOUNDATION HEALTH PLAN INC, SOUTHERN CA | 2,845 | $42.6M |
| Dental | AETNA INC. | 16,268 | $3.1M |
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE | 923 | $65K |
| Life insurance(7 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 48,046 | $51.7M |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 90,558 | $6.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 90,558 | — |
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.