| 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 | SECURION LIFE INSURANCE COMPANY | $10K | $4K | $14K | 7.81% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | SECURION LIFE INSURANCE COMPANY | $2K | $538 | $2K | 9.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 N/A | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $2.1M |
| NORTHERN TRUST COMPANY EIN 36-1561860 N/A | Direct payment from the plan; Investment management; Investment advisory (plan); Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Float revenue Service code 21 | — | $574K |
| SANDERSON ASSET MANAGEMENT EIN 13-4169008 N/A | Investment management fees paid directly by plan; Direct payment from the plan; Investment management; Investment advisory (plan) Service code 27 | — | $522K |
| MORGAN STANLEY INVESTMENT MGMT LTD EIN 13-0057834 N/A | Investment advisory (plan); Investment management; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $507K |
| VULCAN VALUE PARTNERS EIN 39-2051712 N/A | Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | — | $480K |
| BURGUNDY ASSET MANAGEMENT EIN 98-0407588 N/A | Investment management; Investment management fees paid directly by plan; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $270K |
| CIGNA EIN 23-1503749 N/A | Contract Administrator; Direct payment from the plan; Non-monetary compensation; Claims processing; Float revenue; Other services; Participant communication Service code 12 | — | $239K |
| NISA INVESTMENT ADVISORS EIN 48-1140940 N/A | Investment advisory (plan); Investment management fees paid directly by plan; Direct payment from the plan Service code 27 | — | $151K |
| VALUE OPTIONS EIN 54-1414194 N/A | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $125K |
| EPOCH INVESTMENT PARTNERS EIN 20-1003862 N/A | Direct payment from the plan; Investment management fees paid directly by plan; Investment management; Investment advisory (plan) Service code 27 | — | $104K |
| WESTERN ASSET MANAGEMENT EIN 95-2705767 N/A | Investment management fees paid directly by plan; Investment advisory (plan); Direct payment from the plan; Investment management Service code 27 | — | $96K |
| BLUE BAY ASSET MANAGEMENT EIN 36-3237348 N/A | Direct payment from the plan; Investment management; Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $92K |
| LEGAL & GENERAL INVESTMENT EIN 20-8058531 N/A | Investment management fees paid directly by plan; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $61K |
| VISION SERVICE PLAN EIN 31-1072574 N/A | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $8K |
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 | 6,108 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS, INC. | 100 | $1.1M |
| Life insurance(2 contracts) | SECURION LIFE INSURANCE COMPANY | 4,624 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,624 | — |
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.