| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS AND COMPENSATION3 | SYSTEMS INC 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | — | $160K | $160K | 1.79% |
| AMERICAN BENEFITS AND COMPENSATION3 | SYSTEMS INC 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | — | $69K | $69K | 1.83% |
| AMERICAN BENEFITS AND COMPENSATION3 | SYSTEMS INC 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | — | $14K | $14K | 1.87% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOWERS WATSON EIN 26-0676603 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $3.5M |
| HIGHMARK EIN 23-1294723 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $1.2M |
| RUANE, CUNNIFF & GOLDFARB LLC EIN 77-0615921 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $512K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $507K |
| CAPITAL GROUP COMPANIES INC EIN 86-0206507 NONE | Other services; Direct payment from the plan Service code 49 | — | $496K |
| PIMCO EIN 69-3390726 NONE | Direct payment from the plan; Investment management Service code 28 | — | $454K |
| NORTHERN TRUST NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | 526 EAST WISCONSIN AVENUE MILWAUKEE, WA 53202 | $426K |
| UNITED HEALTHCARE EIN 47-0676824 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $395K |
| CIGNA NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | PO BOX 15964 WILMINGTON, DE 19580 | $131K |
| CROWE LLP EIN 35-0921680 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $32K |
| BELL LITHO EIN 36-2550923 NONE | Other services; Copying and duplicating; Participant communication; Direct payment from the plan Service code 36 | — | $27K |
| CVS/CAREMARK EIN 05-0340626 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $8K |
| ANDERSON TAX NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 100 CAMPUS DRIVE SUITE 100 FLORHAM PARK, NJ 07932 | $7K |
| UNITED CONCORDIA EIN 25-1687589 NONE | Other services; Direct payment from the plan Service code 49 | — | $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 | 29,137 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 29,137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 13 | $152K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 2,421 | $765K |
| Life insurance(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 25,618 | $13.5M |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 335 | $4.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 25,618 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.