| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TENTH DOT BENEFITS SOLUTIONS LLC3 | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 152221224 | METROPOLITAN LIFE INSURANCE COMPANY | $81K | $3K | $83K | 1.38% |
| JOHN G TAYLOR3 Filed as: JOHN SCARBOROUGH | 800 CLANTON RD UNIT U CHARLOTTE, NC 28217 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 1.37% |
| HARVARD PRINTING GROUP5 | 175 US HIGHWAY 46 WEST FAIRFIELD, NJ 07004 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $949 | $949 | 0.14% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC. | — | DELTA DENTAL OF WISCONSIN | $5K | — | $5K | 4.78% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFIT LLC | 1166 AVE OF AMERICAS NEW YORK, NY 10036 | FEDERAL INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| HENDERSON BROTHERS, INC.3 Filed as: HENDERSON BROTHERS INC. | 920 FORT DUQUESNE BLVD. PITTSBURGH, PA 15222 | FEDERAL INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| LEAVITT GROUP3 Filed as: LEAVITT BENEFIT INSURANCE SERVICES | OF SOUTHERN CALIFORNIA 1820 E FIRST ST., STE 500 SANTA ANA, CA 92705 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $503 | — | $503 | 10.66% |
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 | 7,167 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,131 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 333 | $1.8M |
| Dental(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 21,603 | $7.9M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 21,603 | $6.0M |
| Short-term disability(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 21,603 | $6.7M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 21,603 | $6.0M |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 21,603 | $6.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,603 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.