| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BNFTS ADVISRS LLC | 321 N CLARK STREET SUITE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | — | $84K | $84K | 1.54% |
| XEROX CORPORATION3 Filed as: XEROX HR SOLUTIONS LLP | PO BOX 202617 DALLAS, TX 753202617 | METROPOLITAN LIFE INSURANCE COMPANY | — | $50K | $50K | 0.92% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BNFTS ADVISRS LLC | 321 N CLARK STREET SUITE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | — | $134 | $134 | 0.00% |
| KENNETH W HEAD3 | 880 S PLEASANTBURG DR STE 2C GREENVILLE, SC 296072450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $26K | — | $26K | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $7.8M |
| XEROX CORP EIN 16-0468020 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $3.2M |
| HEALTH FITNESS CORPORATION EIN 41-1580506 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.4M |
| EXPRESS SCRIPTS INC. EIN 43-1420563 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $1.0M |
| TOWERS WATSON DELAWARE INC. EIN 53-0181291 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $331K |
| PARTNERCOMM INC. EIN 75-2540310 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $275K |
| TELEDOC INC. NONE | Direct payment from the plan; Other services Service code 49 | 1945 LAKEPOINTE DRIVE LEWISVILLE, TX 75057 | $118K |
| ERNST & YOUNG EIN 34-6565596 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $93K |
| COCKRELL ENOVATION EIN 75-1183045 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $66K |
| HEALTHY ALLIANCE LIFE INSURANCE CO EIN 86-0257201 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Other services; Claims processing; Float revenue Service code 12 | — | $38K |
| BIG HEALTH INC. EIN 61-1731301 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $35K |
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 | 18,575 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,785 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 617 | $2.8M |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,077 | $853K |
| Vision | VISION SERVICE PLAN | 11,034 | $1.6M |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 30,415 | $5.8M |
| Other(2 contracts, 2 carriers) | FEDERAL INSURANCE COMPANY | 28,389 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 30,415 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.