| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 233 S WACKER DR STE 1800 CHICAGO, IL 60606 | HARTFORD LIFE AND ACCIDENT | $282K | — | $282K | 2.73% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS SVCS WEST | 801 S FIGUEROA STREET SUITE 800 LOS ANGELES, CA 90017 | HARTFORD LIFE AND ACCIDENT | — | $146K | $146K | 1.41% |
| MARSH & MCLENNAN AGENCY LLC3 | P.O.BOX 412703 BOSTON, MA 02241 | HARTFORD LIFE AND ACCIDENT | $21K | — | $21K | 0.21% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $7K | $7K | 0.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | 600 CORPORATE POINTE FI 6 CULVER CITY, CA 90230 | RELIASTAR LIFE INSURANCE COMPANY | $105K | — | $105K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 38 EASTWOOD DRIVE SUITE 300 SOUTH BURLINGTON, VT 05403 | KAISER FOUNDATION HEALTH PLAN, INC. | $31K | — | $31K | 3.47% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 35371 NETWORK PL CHICAGO, IL 60673 | METLIFE LEGAL PLANS | $54K | — | $54K | 7.85% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC. | 233 S. WACKER DR, STE 1800 CHICAGO, IL 60606 | HARTFORD LIFE AND ACCIDENT | $54K | $10K | $64K | 9.41% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH, STE 500 DEERFIELD, IL 600152567 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $64K | $8K | $72K | 19.99% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK | STE 322-8 3659 GREEN RD BEACHWOOD, OH 44122 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $2K | $2K | 0.63% |
| THE PLEXUS GROUPE LLC3 Filed as: PLEXUS GROUPE LLC THE | 21805 W FIELD PKWY STE 300 DEER PARK, IL 600103231 | UNITEDHEALTHCARE INSURANCE COMPANY | $16K | — | $16K | 4.79% |
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY INC | 234 SPRING LAKE DR ITASCA, IL 601433202 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $4K | $4K | 1.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | 161 WASHINGTON STREET - SUITE 1200 CONSHOHOKEN, PA 19428 | TRUSTMARK INSURANCE COMPANY | $63K | — | $63K | 21.85% |
| OPTAVISE, LLC3 Filed as: OPTAVISE LLC | 120 18TH ST S BIRMINGHAM, AL 35233 | TRUSTMARK INSURANCE COMPANY | $242 | — | $242 | 0.08% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 312 ELM STREET CINCINNATI, OH 45202 | TRUSTMARK INSURANCE COMPANY | $104 | — | $104 | 0.04% |
| GCG FINANCIAL LLC3 | THREE PARKWAY NORTH, STE 500 DEERFIELD, IL 600152567 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $21K | $1K | $22K | 17.85% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK | STE 322-8 3659 GREEN RD BEACHWOOD, OH 44122 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $449 | $449 | 0.36% |
No Schedule C service providers reported on this filing.
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 | 23,623 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 174 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 830 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 24,627 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,932 | $26.2M |
| Vision | UNIVERSITY HEALTH ALLIANCE | 396 | $1.7M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 23,524 | $10.4M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 23,524 | $10.4M |
| Long-term disability(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 23,524 | $10.8M |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,932 | $16.5M |
| Other(5 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 23,524 | $14.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,524 | — |
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.