| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL, LLC | PO BOX 207640 DALLAS, TX 753207640 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $827K | $221K | $1.0M | 7.60% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $8K | $8K | 0.06% |
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL, LLC | 420 LEXINGTON AVE,STE 2220 NEW YORK, NY 10160 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $356K | — | $356K | 6.00% |
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL, LLC | PO BOX 207640 DALLAS, TX 75320 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $183K | $183K | 3.08% |
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL, LLC | 1205 WESTLAKES DRIVE, SUITE 290 BERWYN, PA 19312 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $170K | — | $170K | 3.00% |
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL, LLC | P O BOX 207640 DALLAS, TX 753207640 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $111K | — | $111K | 11.00% |
| BUCK GLOBAL LLC3 Filed as: BUCK GLOBAL | 1205 WESTLAKES DR STE 290 BERWYN, PA 19312 | ACE AMERICAN INSURANCE COMPANY | $96K | — | $96K | 10.01% |
| BUCK GLOBAL LLC3 | 200 BERWYN PARK #110 BERWYN, PA 19312 | FEDERAL INSURANCE COMPANY | $54K | — | $54K | 6.00% |
| BUCK GLOBAL LLC3 | 200 BERWYN PARK #110 BERWYN, PA 19312 | FEDERAL INSURANCE COMPANY | $45K | — | $45K | 6.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE. HARTFORD, CT 06156 | $8.1M |
| INNOVATION HEALTH INSURANCE COMPANY EIN 46-0674828 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 3190 FAIRVIEW PARK DRIVE 5TH FLOOR, SUITE 570 FALLS CHURCH, VA 22042 | $7.0M |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 BENEFIT ADMINISTRATOR | Contract Administrator Service code 13 | 4818 STARKEY ROAD ROANOKE, VA 24018 | $874K |
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 | 35,879 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 719 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 504 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 37,102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 3,010 | $47.0M |
| Dental(3 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 2,111 | $15.0M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 23,166 | $6.6M |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 34,719 | $14.8M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 11,622 | $5.9M |
| Prescription drug(8 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 3,010 | $41.3M |
| Other(4 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 35,879 | $8.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 35,879 | — |
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.