| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL, LLC | PO BOX 202617 DALLAS, TX 753202617 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | $26 | $25K | 0.62% |
| CONDUENT HR CONSULTING LLC3 | PO BOX 202617 DALLAS, TX 753202617 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.05% |
| AON CONSULTING INC5 Filed as: BSWIFT | 10 S RIVERSIDE PLAZA, SUITE 1100 CHICAGO, IL 60606 | AETNA LIFE INSURANCE COMPANY | $137K | — | $137K | 4.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $4.3M |
| HIGHMARK BLUE CROSS BLUE SHIELD EIN 23-1294723 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $4.1M |
| EXPRESS SCRIPTS EIN 43-1420563 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $913K |
| UNITED CONCORDIA EIN 25-1687586 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $630K |
| DAVIS VISION EIN 11-3051991 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $43K |
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 | 17,205 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 17,205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | METROPOLITAN LIFE INSURANCE COMPANY | 34,652 | $4.1M |
| Dental | AETNA LIFE INSURANCE COMPANY | 9,915 | $3.1M |
| Vision | DAVIS VISION | 7,125 | $405K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 34,652 | $4.1M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 34,652 | $4.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 34,652 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.