| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | MINNESOTA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 0.59% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | MINNESOTA LIFE INSURANCE COMPANY | $4K | $823 | $5K | 8.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 N/A | Claims processing; Insurance brokerage commissions and fees; Float revenue; Insurance services; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Insurance agents and brokers; Direct payment from the plan; Other commissions; Non-monetary compensation; Contract Administrator Service code 12 | — | $2.1M |
| HEWITT ASSOCIATES LLC EIN 36-2235791 N/A | Investment management fees paid directly by plan; Other fees; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $1.5M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 N/A | Other insurance fees and expenses; Investment management fees paid indirectly by plan Service code 52 | — | $1.2M |
| TOWERS WATSON DELAWARE INC EIN 53-0181291 N/A | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $734K |
| SANDERSON ASSET MANAGEMENT EIN 13-4169008 N/A | Investment management fees paid directly by plan; Investment advisory (plan); Direct payment from the plan; Investment management Service code 27 | — | $525K |
| NORTHERN TRUST COMPANY EIN 36-1561860 N/A | Direct payment from the plan; Investment advisory (plan); Investment management; Float revenue; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan Service code 21 | — | $405K |
| RS INVESTMENT MANAGEMENT EIN 94-3321067 N/A | Direct payment from the plan; Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $386K |
| ABERDEEN ASSET MANAGEMENT, INC EIN 51-0368279 N/A | Custodial (securities); Account maintenance fees; Investment management fees paid directly by plan Service code 19 | — | $362K |
| EPOCH INVESTMENT PARTNERS EIN 20-1003862 N/A | Investment management; Investment advisory (plan); Direct payment from the plan; Investment management fees paid directly by plan Service code 27 | — | $310K |
| VULCAN VALUE PARTNERS EIN 39-2051712 N/A | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | — | $297K |
| SOUTHEASTERN ASSET MGMT EIN 62-0951781 N/A | Direct payment from the plan; Investment management; Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $262K |
| CIGNA EIN 23-1503749 N/A | Float revenue; Participant communication; Direct payment from the plan; Other services; Contract Administrator; Claims processing; Non-monetary compensation Service code 12 | — | $255K |
| CORONATION N/A | Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | — | $242K |
| NISA INVESTMENT ADVISORS EIN 48-1140940 N/A | Direct payment from the plan; Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $189K |
| PRICEWATERHOUSE COOPERS LLP EIN 13-4008324 N/A | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $161K |
| WESTERN ASSET MANAGEMENT EIN 95-2705767 N/A | Direct payment from the plan; Investment advisory (plan); Investment management fees paid directly by plan; Investment management Service code 27 | — | $144K |
| LEGAL & GENERAL INVESTMENT EIN 20-8058531 N/A | Investment advisory (plan); Investment management fees paid directly by plan; Direct payment from the plan Service code 27 | — | $118K |
| VALUE OPTIONS EIN 54-1414194 N/A | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $113K |
| MERCER CONSULTING EIN 34-2015463 N/A | Direct payment from the plan; Consulting (pension) Service code 17 | — | $98K |
| BDO USA, LLP EIN 13-5381590 N/A | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $78K |
| VISION SERVICE PLAN EIN 06-1227840 N/A | Contract Administrator; Direct payment from the plan Service code 13 | — | $13K |
| JMW CONSULTING INC EIN 36-3859085 N/A | Direct payment from the plan; Consulting (general) Service code 16 | — | $9K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,747 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,747 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLANS, INC. | 73 | $346K |
| Life insurance(3 contracts, 2 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 5,016 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,016 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.