| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE STREET SUITE 1710 BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $317K | — | $317K | 4.00% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 0.06% |
| 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) | — | $103K | $103K | 3.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PKWY, STE. 300 ALPHARETTA, GA 300047631 | RELIASTAR LIFE INSURANCE COMPANY(VOYA) | $58K | — | $58K | 1.70% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 321 N. CLARK STREET SUITE 940 CHICAGO, IL 60654 | EYEMED VISION CARE PLUS | $115K | — | $115K | 9.08% |
| AON CONSULTING INC3 Filed as: BSWIFT | 10 S. RIVERSIDE PLAZA, STE. 1100 CHICAGO, IL 60606 | EYEMED VISION CARE PLUS | $16K | $16K | $31K | 2.46% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, LLC | 1120 SANCTUARY PARKWAY, SUITE 300 ALPHARETTA, GA 30009 | ALLSTATE WORKPLACE DIVISION | $93K | — | $93K | 9.62% |
| PACIFIC RES BENEFITS ADVY LLC3 | 321 N. CLARK STREET SUITE 940 CHICAGO, IL 60654 | ALLSTATE WORKPLACE DIVISION | $73K | — | $73K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS HOUSTON LLC | 1120 SANCTARY PKWY SUITE 300 ALPHARETTA, GA 30004 | HARTFORD LIFE AND ACCIDENT | $72K | — | $72K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 321 N. CLARK STREET SUITE 940 CHICAGO, IL 60654 | EYEMED VISION CARE BASIC | $40K | — | $40K | 9.08% |
| AON CONSULTING INC3 Filed as: BSWIFT | 10 S. RIVERSIDE PLAZA, STE. 1100 CHICAGO, IL 60606 | EYEMED VISION CARE BASIC | $5K | $5K | $11K | 2.46% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | 871 RIDGEWAY LOOP RD SUITE 212 MEMPHIS, TN 38120 | $9.0M |
| DELTA DENTAL OF TENNESSEE EIN 62-0812197 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 240 VENTURE CIRCLE NASHVILLE, TN 37228 | $398K |
| 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 | 14,554 | 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) | 14,554 | 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 | 622 | $6.0M |
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE PLUS | 14,098 | $1.7M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,554 | $7.9M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,554 | $7.9M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,554 | $7.9M |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY(VOYA) | 22,666 | $3.4M |
| Other(3 contracts, 2 carriers) | ALLSTATE WORKPLACE DIVISION | 2,733 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,666 | — |
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.