| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PRUDENTIAL FINANCIAL | $171K | — | $171K | 1.71% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PRUDENTIAL FINANCIAL | $135K | — | $135K | 1.36% |
| RIVERSIDE CONSULTING GROUP INC3 | BUILDING A 270 LANCASTER AVENUE MALVERN, PA 193551858 | PRUDENTIAL FINANCIAL | $42K | — | $42K | 0.42% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE USA, INC. | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60673 | PRUDENTIAL FINANCIAL | — | $6K | $6K | 0.06% |
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 | 20,340 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 161 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 20,501 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN | 14 | $149K |
| Life insurance | PRUDENTIAL FINANCIAL | 15,198 | $10.0M |
| Long-term disability | PRUDENTIAL FINANCIAL | 15,198 | $10.0M |
| Other | PRUDENTIAL FINANCIAL | 15,198 | $10.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,198 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.