| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | $63K | — | $63K | 1.00% |
| WILLIS TOWERS WATSON US LLC4 Filed as: WILLIS TOWERS WATSON INS. SVCS WEST | PO BOX 101162 PASADENA, CA 911891162 | STANDARD INSURANCE COMPANY | $31K | — | $31K | 0.50% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 COMMISSION LOCKBOX 28852 NEW YORK, NY 10087 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $87K | $87K | 5.54% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 3333 PIEDMONT RD. NE, STE 1400 ATLANTA, GA 303051760 | KAISER FOUNDATION HEALTH PLAN INC | $25K | — | $25K | 1.61% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN INC | $23K | — | $23K | 1.51% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $20K | — | $20K | 3.44% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | AETNA LIFE INSURANCE CO. | $9K | — | $9K | 4.13% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 94104 | AETNA LIFE INSURANCE CO. | $5K | — | $5K | 2.54% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | DBA INTEGRO INSURANCE BROKERS P.O. BOX 6180 CAROL STREAM, IL 601976180 | AETNA LIFE INSURANCE CO. | $5K | — | $5K | 2.51% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | ARAG INSURANCE COMPANY | $14K | — | $14K | 10.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 3333 PIEDMONT RD. NE, STE 1400 ATLANTA, GA 303051760 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 1.81% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 1.43% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE ON BEHALF OF THE COMBINED INSURANCE CO. OF AMERICA | $4K | — | $4K | 3.17% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE ON BEHALF OF THE COMBINED INSURANCE CO. OF AMERICA | $3K | — | $3K | 2.37% |
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 | 6,481 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 113 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 650 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 290 | $1.7M |
| Vision(4 contracts, 3 carriers) | VISION SERVICE PLAN | 2,622 | $1.0M |
| Life insurance | STANDARD INSURANCE COMPANY | 8,860 | $6.3M |
| Short-term disability | STANDARD INSURANCE COMPANY | 8,860 | $6.3M |
| Long-term disability | STANDARD INSURANCE COMPANY | 8,860 | $6.3M |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 290 | $1.7M |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 6,542 | $1.6M |
| Other(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 1,276 | $551K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,860 | — |
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."
No prospect flags tripped on this filing.