| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | AETNA LIFE INSURANCE COMPANY | $423K | — | $423K | 3.48% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN INC | $68K | — | $68K | 3.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | AETNA HEALTH OF CALFIFORNIA INC | $22K | — | $22K | 2.95% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $66K | $2K | $68K | 20.74% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $13K | $13K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $43K | $2K | $44K | 15.56% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $11K | $11K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $5K | — | $5K | 2.77% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $17K | $7K | $23K | 14.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $25K | $1K | $26K | 15.61% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $7K | $7K | 4.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16K | $6K | $23K | 14.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $10K | $316 | $10K | 20.64% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $2K | $2K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $205 | $4K | 15.82% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $996 | $996 | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $349 | — | $349 | 4.67% |
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 | 2,529 | 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. |
| Total participants (= "Plan participants" tile) | 2,529 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | AETNA LIFE INSURANCE COMPANY | 2,585 | $15.4M |
| Dental | AETNA LIFE INSURANCE COMPANY | 2,585 | $12.1M |
| Vision | AETNA LIFE INSURANCE COMPANY | 2,585 | $12.1M |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,972 | $355K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 331 | $165K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 287 | $285K |
| Prescription drug(7 contracts, 7 carriers) | AETNA LIFE INSURANCE COMPANY | 2,585 | $15.4M |
| Other(4 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,972 | $403K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,585 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.