| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $6K | — | $6K | 9.86% |
| MARSH & MCLENNAN AGENCY LLC3 | 2500 CITY WEST BLVD STE 2400 HOUSTON, TX 77042 | ANTHEM LIFE INSURANCE COMPANY | $4K | — | $4K | 17.86% |
| JAMES WETTERER3 | 3921 BROOKFIELD AVE LOUISVILLE, KY 40207 | ANTHEM LIFE INSURANCE COMPANY | $247 | — | $247 | 1.12% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS INS SERVICES INC | 125 EAST ELM ST CONSHOHOCKEN, PA 19428 | ANTHEM LIFE INSURANCE COMPANY | -$194 | — | -$194 | -0.88% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNNAN AGENCY LLC | 2500 CITY WEST BLVD STE 2400 HOUSTON, TX 77042 | ANTHEM LIFE INSURANCE COMPANY | $4K | — | $4K | 24.83% |
| JAMES WETTERER3 | 3921 BROOKFIELD AVE LOUISVILLE, KY 40207 | ANTHEM LIFE INSURANCE COMPANY | $209 | — | $209 | 1.40% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS INS SERVICES INC | 125 EAST ELM ST CONSHOHOCKEN, PA 19428 | ANTHEM LIFE INSURANCE COMPANY | -$57 | — | -$57 | -0.38% |
| MARSH & MCLENNAN AGENCY LLC3 | 2500 CITY WEST BLVD STE 2400 HOUSTON, TX 77042 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 30.22% |
| JAMES WETTERER3 | 3921 BROOKFIELD AVE LOUISVILLE, KY 40207 | ANTHEM LIFE INSURANCE COMPANY | $137 | — | $137 | 1.69% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS INS SERVICES INC | 125 EAST ELM ST CONSHOHOCKEN, PA 19428 | ANTHEM LIFE INSURANCE COMPANY | -$138 | — | -$138 | -1.71% |
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 | 122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 140 | $63K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 140 | $63K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 141 | $15K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 125 | $22K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 39 | $8K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 141 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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.