| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | DEPT CH 14061 PALATINE, IL 60055 | DELTA DENTAL OF TENNESSEE | $12K | — | $12K | 3.75% |
| PETER JONES3 | 1336 DENNINGS ROAD NEW WINDSOR, MD 21776 | DELTA DENTAL OF TENNESSEE | $4K | — | $4K | 1.25% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | P.O. BOX 202617 DALLAS, TX 75320 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $30K | — | $30K | 11.25% |
| PETER JONES3 Filed as: PETER C. JONES | 1336 DENNINGS ROAD NEW WINDSOR, MD 21776 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 3.75% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | P.O. BOX 202617 DALLAS, TX 735202617 | METROPOLITAN LIFE INSURANCE COMPANY | $61K | $5K | $66K | 26.77% |
| PETER JONES3 Filed as: PETER C. JONES | 1336 DENNINGS ROAD NEW WINDSOR, MD 217768533 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | — | $12K | 5.00% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | DEPT CH 14601 PALATINE, IL 60055 | DELTA DENTAL OF TENNESSEE | $5K | — | $5K | 3.75% |
| PETER JONES3 | 1336 DENNINGS ROAD NEW WINDSOR, MD 21776 | DELTA DENTAL OF TENNESSEE | $2K | — | $2K | 1.25% |
| PETER JONES3 Filed as: PETER C JONES | 1336 DENNINGS ROAD NEW WINDSOR, MD 21776 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 14.47% |
| MATTHEW W EVANS3 | 817 MAIDEN CHOICE LANE SUITE 340 CATONSVILLE, MD 21228 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 3.62% |
| CAROLINE D MORNINGSTAR3 | 11285 DOVEDALE COURT 2ND FL MARRIOTTSVILLE, MD 21104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.84% |
| JEREMY A FELDMAN3 | 11275 DOVEDALE COURT MARRIOTTSVILLE, MD 21104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $187 | — | $187 | 0.22% |
| BUCK CONSULTANTS LLC3 | 231 SOUTH BEMISTON SUITE 400 ST. LOUIS, MO 63105 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | $4K | — | $4K | 7.50% |
| PETER JONES3 | 1336 DENNING ROAD NEW WINDSOR, MD 21776 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.50% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | P.O. BOX 202617 DALLAS, TX 753202617 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $94 | $1K | 11.74% |
| PETER JONES3 Filed as: PETER C JONES | 1336 DENNINGS ROAD NEW WINDSOR, MD 21776 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $452 | — | $452 | 3.66% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | DEPT CH14061 PALATINE, IL 600554061 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $901 | — | $901 | 15.00% |
| PETER JONES3 Filed as: PETER C JONES | 1336 DENNINGS ROAD NEW WINDSOR, MD 21776 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $300 | — | $300 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $309K |
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 | 917 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 924 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONTINENTAL AMERICAN INSURANCE COMPANY | 353 | $85K |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF TENNESSEE | 705 | $515K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,288 | $245K |
| Long-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 719 | $271K |
| Stop-loss / reinsurancereinsurance | AETNA | 736 | $564K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,288 | $342K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,288 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.