| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 21300 VICTORY BLVD SUITE 635 WOODLAND HILLS, CA 91367 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $303K | — | $303K | 3.93% |
| MIGU PRESS INC5 | 260 IVYLAND ROAD WARMINSTER, PA 18974 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $10K | $10K | 0.13% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 0.06% |
| UNITED ENVELOPE LLC5 Filed as: UNITED ENVELOPE, LLC | PO BOX 951431 CLEVELAND, OH 44193 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $1K | $1K | 0.02% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PKWY, STE. 300 ALPHARETTA, GA 300047631 | RELIASTAR LIFE INSURANCE COMPANY(VOYA) | $125K | — | $125K | 4.00% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 Filed as: BENEFIT ADVISORS SERVICES GROUP, LL | 1120 SANCTUARY PKWY, STE. 300 ALPHARETTA, GA 300097630 | RELIASTAR LIFE INSURANCE COMPANY(VOYA) | — | $94K | $94K | 3.00% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 Filed as: BENEFIT ADVISORS SERVICES GROUP | 1120 SANCTUARY PKWY., STE. 300 ALPHARETTA, GA 300097630 | RELIASTAR LIFE INSURANCE COMPANY(VOYA) | — | — | $0 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 321 N. CLARK STREET SUITE 940 CHICAGO, IL 60654 | EYEMED VISION CARE PLUS | $103K | — | $103K | 9.86% |
| PACIFIC RES BENEFITS ADVY LLC3 | 321 N. CLARK STREET SUITE 940 CHICAGO, IL 60654 | ALLSTATE WORKPLACE DIVISION | $69K | — | $69K | 10.70% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS HOUSTON LLC | 1120 SANCTARY PKWY SUITE 300 ALPHARETTA, GA 30004 | HARTFORD LIFE AND ACCIDENT | $78K | $10K | $88K | 16.85% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, LLC | 1120 SANCTUARY PARKWAY, SUITE 300 ALPHARETTA, GA 30009 | ALLSTATE WORKPLACE DIVISION | $50K | — | $50K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 321 N. CLARK STREET SUITE 940 CHICAGO, IL 60654 | EYEMED VISION CARE BASIC | $36K | — | $36K | 9.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | 871 RIDGEWAY LOOP RD SUITE 212 MEMPHIS, TN 38120 | $8.0M |
| DELTA DENTAL OF TENNESSEE EIN 62-0812197 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 240 VENTURE CIRCLE NASHVILLE, TN 37228 | $394K |
| COMPSYCH EIN 35-3739783 TPA | Recordkeeping fees Service code 64 | — | $0 |
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 | 14,417 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,417 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLANS INC SO CA | 572 | $5.6M |
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE PLUS | 13,765 | $1.4M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,417 | $7.7M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,417 | $7.7M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,417 | $7.7M |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY(VOYA) | 22,266 | $3.1M |
| Other(3 contracts, 2 carriers) | ALLSTATE WORKPLACE DIVISION | 5,145 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,266 | — |
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.