| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 775 YARD STREET COLUMBUS, OH 43212 | UNIMERICA INSURANCE COMPANY | — | $90K | $90K | 7.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC. | 111 E. KILBOURN AVE MILWAUKEE, WI 53202 | UNIMERICA INSURANCE COMPANY | $64K | — | $64K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $7.0M |
| NATL COUNCIL OF YMCAS OF THE USA EIN 36-3258696 PLAN SPONSOR | Plan Administrator Service code 14 | — | $2.2M |
| BUSINESSOLVER.COM, INC. EIN 42-1503807 NONE | Contract Administrator Service code 13 | — | $559K |
| WILLIS TOWERS WATSON MIDWEST, INC. EIN 34-1174529 NONE | Consulting (general) Service code 16 | — | $186K |
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 NONE | Claims processing; Other services; Contract Administrator; Participant communication Service code 12 | — | $160K |
| MOURI TECH LLC EIN 20-2497305 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $97K |
| CONVEY COMPLIANCE SYSTEM EIN 47-1073810 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $43K |
| MARQUETTE ASSOCIATES, INC. EIN 36-3485298 NONE | Investment advisory (plan) Service code 27 | — | $42K |
| GRANT THORNTON LLP EIN 36-6055558 NONE | Accounting (including auditing) Service code 10 | — | $37K |
| ALIGHT SOLUTIONS EIN 82-1061233 NONE | Other services Service code 49 | — | $21K |
| ENVISION EIN 36-4377388 NONE | Copying and duplicating Service code 36 | — | $17K |
| U.S. BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $13K |
| SALESFORCE, INC. EIN 94-3320693 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $9K |
| WINSTON & STRAWN LLP EIN 36-1975990 NONE | Legal Service code 29 | — | $8K |
| BANK OF AMERICA EIN 36-6736628 NONE | Custodial (other than securities) Service code 18 | — | $8K |
| AT&T EIN 13-4924710 NONE | Other services Service code 49 | — | $7K |
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 | 16,064 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 327 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | EYEMED VISION CARE | 10,297 | $244K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 14,191 | $1.1M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 11,239 | $1.2M |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 8,578 | $1.3M |
| Other | UNITED BEHAVIORAL HEALTH DBA OPTUM | 14,431 | $211K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,431 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.