| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA, INC. | 4250 EXECUTIVE SQUARE STE 250 LA JOLLA, CA 92037 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | PO BOX 101162 PASADENA, CA 91189 | KAISER FOUNDATION HEALTH PLAN INC | $136K | — | $136K | 4.36% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | 4250 EXECUTIVE SQUARE STE 250 LA JOLLA, CA 92037 | BANNER HEALTH AND AETNA HEALTH | — | $11K | $11K | 0.85% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA | PO BOX 101162 PASADENA, CA 91189 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $67K | $4K | $71K | 10.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA | PO BOX 101162 PASADENA, CA 91189 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $48K | $3K | $51K | 10.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA | PO BOX 101162 PASADENA, CA 91189 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $27K | $2K | $29K | 10.57% |
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 | 3,381 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 172 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,572 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 2,864 | $25.4M |
| Dental | AETNA LIFE INSURANCE CO. | 2,864 | $17.6M |
| Life insurance | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,195 | $481K |
| Short-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,197 | $674K |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,197 | $270K |
| Prescription drug(4 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 2,864 | $25.4M |
| Other(2 contracts, 2 carriers) | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,292 | $556K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,292 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.