| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH INS & INVESTMENT CORP | 4 CHASE METROTECH CTR FL 7E P.O. BOX 26945 BROOKLYN, NY 11245 | METROPOLITAN LIFE INSURANCE COMPANY | $703K | $166K | $869K | 9.22% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 155 N WACKER DR. STE 1500 CHICAGO, IL 60606 | KAISER FOUNDATION HEALTH PLANS INC. | $26K | — | $26K | 1.05% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS ADMIN LLC | PO BOX 850502 MINNEAPOLIS, MN 55485 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 0.42% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $2K | — | $2K | 1.36% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1166 AVENUE OF THE AMERICAS 23RD FLOOR NEW YORK, NY 10028 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $2K | — | $2K | 1.25% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $2K | — | $2K | 1.52% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $2K | — | $2K | 1.47% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1717 ARCH ST. 27TH FLOOR PHILADELPHIA, PA 19103 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $1K | — | $1K | 1.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 23-7391136 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $5.3M |
| AETNA EIN 06-6033492 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $4.4M |
| METROPOLITAN LIFE EIN 13-5581829 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $453K |
| SUREST, A UNITEDHEALTHCARE COMPANY NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | 9700 HEALTH CARE LANE MINNETONKA, MN 55343 | $312K |
| THE HARTFORD EIN 06-0974148 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $276K |
| CVS CAREMARK NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 1 CVS DRIVE WOONSOCKET, RI 02895 | $245K |
| RX SAVINGS SOLUTION NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 5440 W 110TH ST OVERLAND PARK, KS 66211 | $200K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $196K |
| TRION GROUP AFFILIATE OF PLAN SPONSOR | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | $159K |
| BNY MELLON CORPORATION NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan; Recordkeeping fees Service code 21 | 240 GREENWICH ST NEW YORK, NY 10286 | $90K |
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 | 19,240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,686 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 21,926 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 354 | $3.6M |
| Life insurance(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 19,240 | $14.7M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 306 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,240 | — |
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.