| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC5 Filed as: MARSH USA, INC. | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 100362774 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $47K | $47K | 3.71% |
| MERCER HEALTH AND BENEFITS, LLC5 Filed as: MERCER | PO BOX 310072 DES MOINES, IA 50331 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 0.12% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER | PO BOX 310072 DES MOINES, IA 50331 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $155 | $155 | 0.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1166 AVENUE OF THE AMERICAS 22ND FLOOR NEW YORK, NY 10036 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $40K | — | $40K | 12.82% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS CORROON CORP OF NY INC | ONE WORLD FINANCIAL CENTER 200 LIBERTY STREET, 6TH FL, STE 6 NEW YORK, NY 10281 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $9K | $9K | 5.98% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA INC | PO BOX 101162 PADADENA, CA 911890001 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $593 | $593 | 0.39% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1166 AVENUE OF THE AMERICAS 22ND FLOOR NEW YORK, NY 10036 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $5K | — | $5K | 4.97% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $7K | — | $7K | 25.00% |
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 | 6,429 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 113 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 128 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,670 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | EMBLEMHEALTH | 1,142 | $930K |
| Dental | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 1,142 | $300K |
| Vision | VISION SERVICE PLAN | 4,374 | $790K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,735 | $1.3M |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 11 | $45K |
| Other(8 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 6,388 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,388 | — |
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.