| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS SVCS WEST | PO BOX 101162 PASADENA, CA 91189 | AETNA LIFE INSURANCE CO. | — | $73K | $73K | 0.44% |
| 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. | $147 | — | $147 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | PO BOX 101162 PASADENA, CA 91189 | KAISER FOUNDATION HEALTH PLAN INC | $139K | — | $139K | 3.88% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA | PO BOX 101162 PASADENA, CA 91189 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $103K | — | $103K | 8.98% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 233 S WACKER DRIVE SUITE 2000 CHICAGO, IL 60606 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $21K | $21K | 1.85% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS SVCS WEST | 801 SOUTH FIGUEROA ST SUITE 800 LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $20K | — | $20K | 3.41% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA | PO BOX 101162 PASADENA, CA 91189 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $53K | — | $53K | 9.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 233 S WACKER DRIVE SUITE 2000 CHICAGO, IL 60606 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $21K | $21K | 3.49% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA | PO BOX 101162 PASADENA, CA 91189 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $29K | — | $29K | 9.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 233 S WACKER DRIVE SUITE 2000 CHICAGO, IL 60606 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $12K | $12K | 3.62% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA, INC. | PO BOX 101162 PASADENA, CA 91189 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $9K | — | $9K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 200 LIBERTY STREET 7TH FLOOR NEW YORK, NY 10281 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $2K | — | $2K | 25.01% |
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 | 4,713 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 386 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | AETNA LIFE INSURANCE CO. | 676 | $28.4M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 7 | $91K |
| Life insurance | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 0 | $592K |
| Short-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 0 | $1.1M |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 0 | $322K |
| Prescription drug(6 contracts, 6 carriers) | AETNA LIFE INSURANCE CO. | 676 | $28.3M |
| Other(3 contracts, 3 carriers) | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 4,713 | $689K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,713 | — |
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.