| 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 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $19 | $3K | 25.91% |
| AON CONSULTING INC3 | HEWITT ASSOCIATES LLC 200 EAST RANDOLPH STREET CHICAGO, IL 60601 | SHELTERPOINT LIFE INSURANCE COMPANY | — | $202 | $202 | 5.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA EIN 54-0357120 ASO MED CLAIMS | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other services Service code 12 | — | $563K |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 ASO DENTAL CLAIMS | Contract Administrator Service code 13 | — | $25K |
| CVS PHARMACY, INC. EIN 05-0340626 ASO RX CLAIMS | Participant communication; Float revenue; Claims processing; Other services; Direct payment from the plan; Contract Administrator Service code 12 | — | -$60K |
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 | 771 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 778 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA DBA ANTHEM BCBS (G1605) | 628 | $17K |
| Dental | DELTA DENTAL OF VIRGINIA | 629 | $25K |
| Vision | STRYDEN, INC. | 554 | $91K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,731 | $465K |
| Short-term disability | SHELTERPOINT LIFE INSURANCE COMPANY | 14 | $4K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,731 | $465K |
| Prescription drug | CVS PHARMACY, INC. | 628 | $0 |
| Other(3 contracts, 3 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,731 | $494K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,731 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.