| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFIT LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | DELTA DENTAL OF INDIANA | $2K | — | $2K | 2.91% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS | 111 MONUMENT CIRCLE #4300 INDIANAPOLIS, IN 46204 | FEDERAL INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR. CHICAGO, IL 606740001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $232 | — | $232 | 2.87% |
| VHA MID AMERICA INS SVCS3 Filed as: VHA MID AMERICA INSURANCE | 75 REMITTANCE DRIVE SUITE 1855 CHICAGO, IL 60675 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $81 | — | $81 | 1.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR. CHICAGO, IL 606740001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $212 | — | $212 | 2.86% |
| VHA MID AMERICA INS SVCS3 Filed as: VHA MID AMERICA INSURANCE | 7415 W 130TH STREET SUITE 200 OVERLAND PARK, IL 66213 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $74 | — | $74 | 1.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR. CHICAGO, IL 606740001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $141 | — | $141 | 2.84% |
| VHA MID AMERICA INS SVCS3 Filed as: VHA MID AMERICA INSURANCE | 75 REMITTANCE DRIVE SUITE 1855 CHICAGO, IL 60675 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $50 | — | $50 | 1.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER H&B ADMINISTRATION LLC | PO BOX 310502 DES MOINES, IA 50331 | HYATT LEGAL PLANS, INC. | $255 | $30 | $285 | 11.20% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | EYEMED VISION CARE ON BEHALF OF COMBINED INSURANCE COMPANY OF AMERICA | $103 | $1 | $104 | 5.18% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR. CHICAGO, IL 606740001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $51 | — | $51 | 2.86% |
| VHA MID AMERICA INS SVCS3 Filed as: VHA MID AMERICA INSURANCE | 75 REMITTANCE DRIVE SUITE 1855 CHICAGO, IL 60675 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $18 | — | $18 | 1.01% |
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 | 159 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 20 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 143 | $61K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 77 | $15K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 56 | $5K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 67 | $8K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 43 | $7K |
| Other(3 contracts, 3 carriers) | FEDERAL INSURANCE COMPANY | 36 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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."
No prospect flags tripped on this filing.