| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONDUENT HR CONSULTING LLC3 | P.O. BOX 202617 DALLAS, TX 75320 | AETNA LIFE INSURANCE COMPANY | $85K | — | $85K | 10.04% |
| BUCK GLOBAL LLC3 | P.O. BOX 207640 DALLAS, TN 753207640 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $218K | — | $218K | 26.55% |
| CONDUENT HR CONSULTING LLC3 | P.O. BOX 202617 DALLAS, TX 75320 | KAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES, INC. | $0 | $372 | $372 | 0.05% |
| BUCK GLOBAL LLC3 | P.O. BOX 202617 DALLAS, TN 753202617 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $153K | — | $153K | 28.30% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT HR CONSULTING, LLC | P.O. BOX 202617 DALLAS, TX 75320 | KAISER FOUNDATION HEALTH PLAN REGION OF COLORADO | $168 | $485 | $653 | 0.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 CONTRACT ADMINISTRATOR | Float revenue; Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | — | $6.2M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $3.0M |
| VISION SERVICE PLAN EIN 06-1227840 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.6M |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 ADMIN SERVICES AGREEMENT | Named fiduciary; Other services; Contract Administrator; Participant communication; Float revenue; Non-monetary compensation; Direct payment from the plan; Claims processing Service code 12 | — | $1.5M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $1.4M |
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 | 18,145 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 192 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 320 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,657 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(11 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLANS, INC. | 5,279 | $10.3M |
| Dental | AETNA LIFE INSURANCE COMPANY | 3,660 | $1.2M |
| Prescription drug(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLANS, INC. | 595 | $8.1M |
| Other(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 5,279 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,279 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.