| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NON EXPERIENCE - RATED Filed as: NON EXPERIENCE RATED | — | CIGNA HEALTH AND LIFE INSURANCE AND AFFILIATES (CIGNA) | — | — | $0 | 0.00% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951 N SCOTTSDALE RD SUITE 131 SCOTTSDALE, AZ 852543454 | VISION SERVICE PLAN | $9K | — | $9K | 0.73% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $190K | $0 | $190K | 23.69% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $130K | $0 | $130K | 16.39% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $95K | $0 | $95K | 16.61% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951 NORTH SCOTTSDALE ROAD SCOTTSDALE, AZ 85254 | AETNA LIFE INSURANCE CO. | $18K | $0 | $18K | 4.05% |
| NON EXPERIENCE - RATED Filed as: NON EXPERIENCE RATED | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| JAMES WALLACE3 Filed as: JAMES J WALLACE | 53 THORNHILL CT BURR RIDGE, IL 60527 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 3.57% |
| WALT SZADZINSKI & ASSOCIATES LTD3 | 4 OAKBROOK CLUB DR G 304 OAKBROOK, IL 60523 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 3.57% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS LLC | 800 MARKET SUITE 1800 ST. LOUIS, MO 63101 | ZURICH AMERICAN INSURANCE COMPANY | $8K | — | $8K | 20.00% |
| GREGORY A MCROBERTS3 | 900 E 96TH ST STE 300 INDIANAPOLIS, IN 462403876 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $0 | $68 | $68 | 0.73% |
| DAVID A PEARRE3 | 101 WAUKEGAN RD STE 990 LAKE BLUFF, IL 600441687 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $2 | $0 | $2 | 0.02% |
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 | 11,405 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 191 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 104 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 11,700 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE AND AFFILIATES (CIGNA) | 8,465 | $4.9M |
| Vision | VISION SERVICE PLAN | 8,157 | $1.2M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 9,758 | $1.8M |
| Long-term disability(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 8,235 | $2.4M |
| Other(5 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 12,650 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,650 | — |
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.