| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING | PO BOX 905494 CHARLOTTE, NC 28290 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $230K | $230K | 1.98% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 39030 TREASURY CTR CHICAGO, IL 60694 | METROPOLITAN LIFE INSURANCE COMPANY | $108K | $40 | $108K | 0.93% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 100 HALF DAY ROAD LINCOLNSHIRE, IL 60069 | PRUDENTIAL INSURANCE COMPANY | $75K | $0 | $75K | 1.09% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 39340 TREASURY CENTER CHICAGO, IL 60694 | PRUDENTIAL INSURANCE COMPANY | $40K | $0 | $40K | 0.58% |
| HATTERAS5 | 56 PARK AVENUE TINTON FALLS, NJ 07724 | PRUDENTIAL INSURANCE COMPANY | $0 | $12K | $12K | 0.18% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY | $0 | $10K | $10K | 0.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $12.8M |
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 | 29,410 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 29,410 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM EMPLOYEE ASSISTANCE PROGRAM | 29,694 | $526K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 45,380 | $11.6M |
| Vision(2 contracts) | EYEMED VISION CARE | 41,679 | $2.3M |
| Life insurance(2 contracts) | PRUDENTIAL INSURANCE COMPANY | 50,918 | $9.3M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY | 50,918 | $6.9M |
| Long-term disability(2 contracts) | PRUDENTIAL INSURANCE COMPANY | 50,918 | $9.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 50,918 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.