| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS | 233 SOUTH WACKER SUITE 2000 CHICAGO, IL 60606 | HARFTFORD LIFE AND ACCIDENT | $43K | — | $43K | 1.45% |
| STEVEN R SWIERCZ3 | 2317 HASTINGS AVENUE EVANSTON, IL 60201 | HARFTFORD LIFE AND ACCIDENT | $4K | $7K | $11K | 0.37% |
| STEVEN R SWIERCZ3 Filed as: STEVEN SWIERCZ | 2317 HASTINGS EVANSTON, IL 60201 | HARTFORD LIFE AND ACCIDENT | — | $4K | $4K | 0.24% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC | 233 SOUTH WACKER SUITE 2000 CHICAGO, IL 60606 | HARTFORD LIFE AND ACCIDENT | $23K | — | $23K | 3.08% |
| STEVEN R SWIERCZ3 | 2317 HASTINGS EVANSTON, IL 60201 | HARTFORD LIFE AND ACCIDENT | $7K | $2K | $9K | 1.18% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS, INC. | SCOTT MEYER 233 S. WACKER DRIVE, STE 2000 CHICAGO, IL 60606 | HYATT LEGAL PLANS, INC. | $20K | $4K | $24K | 11.82% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK | 200 LIBERTY STREET NEW YORK, NY 10281 | ZURICH AMERICAN INSURANCE COMPANY | $1K | — | $1K | 19.99% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC | INSURANCE AGENCY 233 S WACKER DR, STE 2000 CHICAGO, IL 60606 | MEDIEXCEL HEALTH PLAN | — | — | $0 | 0.00% |
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 | 14,581 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 74 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,655 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 488 | $1.4M |
| Dental | KAISER FOUNDATION HEALTH PLAN, INC. | 488 | $1.4M |
| Life insurance | HARFTFORD LIFE AND ACCIDENT | 12,790 | $2.9M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 5,110 | $1.5M |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 488 | $1.4M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 13,954 | $955K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,954 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.