| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNIVERSAL BENEFIT SOLUTIONS3 | UNIVERSAL BENEFIT SOLUTIONS 138 WASHAM RD MOORESVILLE, NC 28117 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON LTD | $88K | $88K | $176K | 3.99% |
| ROBERT BRICKWEG3 | ROBERT BRICKWEG 138 WASHAM RD MOORESVILLE, NC 28117 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $300K | $0 | $300K | 9.43% |
| MIGU PRESS INC0 | 260 IVYLAND ROAD WARMISTER, PA 18974 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $20K | $20K | 0.62% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES, LLC | 39340 TREASURY CENTER CHICAGO, IL 60694 | KAISER PERMANENTE | $21K | $0 | $21K | 0.99% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES | 39340 TREASURY CENTER CHICAGO, IL 60694 | AETNA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 0.92% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES, LLC | 39340 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF GEOGIA INC | $9K | $0 | $9K | 0.97% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES, LLC | 100 HALF DAY RD 40B-4N-3 LINCOLNSHIRE, IL 60069 | KAISER FOUNDATION HEALTH PLAN, NORTHWEST | $9K | $0 | $9K | 1.00% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 100 HALF DAY RD LINCONDSHIRE, IL 60069 | HEALTHSPAN INTERGRATED CARE | $4K | $0 | $4K | 1.00% |
| AON CONSULTING INC3 Filed as: HEWITT INS BROKERAGE | PO BOX 39030 CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES | $4K | $0 | $4K | 1.01% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | P. O. BOX 905494 CHARLOTTE, NC 28290 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $9K | $0 | $9K | 2.68% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES, LLC | 39340 TREASURY CENTER CHICAGO, IL 60694 | KAISER PERMANENTE | $3K | $0 | $3K | 1.02% |
| UNIVERSAL BENEFIT SOLUTIONS3 | 144 HEATHLAND LANE MOORESVILLE, NC 28117 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON HI STAT | $510 | $0 | $510 | 1.91% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | P. O. BOX 905494 CHARLOTTE, NC 28290 | TRIPLE-S VIDA, INC | $2K | $0 | $2K | 13.00% |
| MULLIN TBG INSURANCE AGENCY SVCS3 | MULLIN TBG INSURANCE AGENCY SVCS 540 LAKE COOK RD STE 150 DEERFIELD, IL 60015 | THE PAUL REVER LIFE INSURANCE COMPAY | $58 | $0 | $58 | 0.95% |
| SUMMA FINANCIAL CORP3 Filed as: SUMMA FINANCIAL CORPORATION | SUMMA FINANCIAL CORPORATION 520 LAKE COOK RD STE 520 DEERFIELD, IL 60015 | THE PAUL REVER LIFE INSURANCE COMPAY | $46 | $0 | $46 | 0.75% |
| RODRIGUE, ROCH, DONALD3 | STE 201 PO BOX 230 209 MAIN ST SACO, ME 04072 | PROVIDENT LIFE AND ACCIDENT INSURACE COMPANY | $315 | $25 | $340 | 8.58% |
| EDELSTEIN, HOWARD, BEIN3 | SUITE 1950 925 EUCLID AVE #1950 CLEVELAND, OH 44115 | PROVIDENT LIFE AND ACCIDENT INSURACE COMPANY | $20 | $0 | $20 | 0.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE CO. EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $12.4M |
| FIDELITY INVESTMENTS EIN 04-2647786 NONE | Investment advisory (plan) Service code 27 | — | $190K |
| CONSOLIDATED SOLUTIONS EIN 34-1432362 | Consulting fees Service code 70 | — | $120K |
| HDMS EIN 52-2182411 NONE | Recordkeeping fees Service code 64 | — | $99K |
| ADP NATIONAL ACCOUNTS EIN 22-1467904 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $98K |
| WELLNESS COACHES USA EIN 32-0025442 NONE | Employee (plan) Service code 30 | — | $89K |
| ALERE INC EIN 20-0231080 NONE | Consulting fees Service code 70 | — | $69K |
| MAESTROTECH | Consulting fees Service code 70 | 744 CRYSTAL BROOKE DR HINCKLEY, OH 44233 | $49K |
| ALLSUP EIN 37-1170934 NONE | Employee (plan) Service code 30 | — | $16K |
| QDRO CONSULTANTS COMPANY LLC EIN 34-1820650 NONE | Consulting fees Service code 70 | — | $15K |
| CORPORATE REWARDS EIN 90-0919879 NONE | Other fees Service code 99 | — | $13K |
| NATIONAL BUSINESS GROUP ON HEALTH EIN 52-1147591 NONE | Consulting fees Service code 70 | — | $9K |
| NEKTAR DESIGN NONE | Consulting fees Service code 70 | 4023 PORTER RD WESTLAKE, OH 44145 | $8K |
| TUDOR H JAMES NONE | Consulting fees Service code 70 | — | $7K |
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 | 38,878 | 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) | 38,878 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | KAISER PERMANENTE | 4,268 | $5.3M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 4,212 | $1.2M |
| Vision(6 contracts, 4 carriers) | COMBINED INSURANCE CO. OF AMERICA | 40,547 | $6.4M |
| Life insurance(4 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 26,745 | $8.6M |
| Short-term disability | THE PAUL REVER LIFE INSURANCE COMPAY | 6 | $6K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON LTD | 25,748 | $4.4M |
| Prescription drug(4 contracts, 3 carriers) | KAISER PERMANENTE | 581 | $4.2M |
| Other(5 contracts, 5 carriers) | AETNA LIFE INSURANCE COMPANY | 26,537 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 40,547 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.