| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NON EXPERIENCE - RATED | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | — | — | $0 | 0.00% |
| WEINER INSURANCE, INC.5 Filed as: WEINER INSURANCE INC | 13951 N SCOTTSDALE RD STE 122 SCOTTSDALE, AZ 85254 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $125K | $125K | 2.54% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 0.06% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951 N SCOTTSDALE RD STE 122 SCOTTSDALE, AZ 852543454 | VISION SERVICE PLAN | $8K | — | $8K | 0.62% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER, INC | PO BOX 28 DUBUQUE, IA 520040028 | VISION SERVICE PLAN | $5K | — | $5K | 0.43% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $166K | $8K | $175K | 14.39% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951 N SCOTTSDALE RD SCOTTSDALE, AZ 85254 | HARTFORD LIFE AND ACCIDENT | $12K | $28K | $40K | 3.31% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $88K | $5K | $93K | 16.63% |
| NON EXPERIENCE - RATED | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | — | — | $0 | 0.00% |
| WEINER INSURANCE, INC. Filed as: WEINER INSURANCE INC | 13951 N SCOTTSDALE RD STE 122 SCOTTSDALE, AZ 85254 | AETNA LIFE INSURANCE CO | $14K | — | $14K | 3.64% |
| JAMES WALLACE3 | 53 THORNHILL CT BURR RIDGE, IL 60527 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 2.91% |
| WALT SZADZINSKI & ASSOCIATES LTD3 | 4 OAK BROOK CLUB DR G304 OAK BROOK, IL 60523 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 2.91% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS LLC | 800 MARKET ST STE 1800 SAINT LOUIS, MO 631012617 | ZURICH AMERICAN INSURANCE COMPANY | $8K | — | $8K | 20.00% |
| RX FINANCIAL RESOURCES, INC3 | 340 W BUTTERFIELD RD STE LE ELMHURST, IL 601265069 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $27 | $0 | $27 | 11.07% |
| GREGORY A MCROBERTS3 | 900 E 96TH ST STE 300 INDIANAPOLIS, IN 462403876 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
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 | 12,790 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 193 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,983 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 9,028 | $6.4M |
| Vision | VISION SERVICE PLAN | 8,967 | $1.3M |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 12,093 | $6.1M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 12,093 | $4.9M |
| Long-term disability(4 contracts, 4 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 12,093 | $6.2M |
| Other(4 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 12,650 | $6.7M |
| 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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.