| 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 | SECURIAN LIFE INSURANCE COMPANY | $9K | $4K | $12K | 7.79% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | SECURIAN LIFE INSURANCE COMPANY | $740 | $242 | $982 | 9.29% |
| 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 | — | $2.6M |
| LIFEWORKS (US) LTD. EIN 52-1883918 N/A | Direct payment from the plan; Consulting (general) Service code 16 | — | $1.9M |
| NORTHERN TRUST COMPANY EIN 36-1561860 N/A | Float revenue; Direct payment from the plan; Investment management; Investment advisory (plan); Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $887K |
| MORGAN STANLEY INVESTMENT MGMT LTD EIN 13-0057834 N/A | Investment management; Investment management fees paid directly by plan Service code 28 | — | $717K |
| SANDERSON ASSET MANAGEMENT EIN 13-4169008 N/A | Investment management; Investment management fees paid directly by plan Service code 28 | — | $493K |
| VULCAN VALUE PARTNERS EIN 39-2051712 N/A | Investment management; Investment management fees paid directly by plan Service code 28 | — | $442K |
| BURGUNDY ASSET MANAGEMENT EIN 98-0407588 N/A | Investment management fees paid directly by plan; Investment management Service code 28 | — | $406K |
| NISA INVESTMENT ADVISORS EIN 48-1140940 N/A | Investment management fees paid directly by plan; Investment management Service code 28 | — | $257K |
| CORONATION EIN 20-3515052 N/A | Investment management fees paid directly by plan; Investment management Service code 28 | — | $232K |
| WESTERN ASSET MANAGEMENT EIN 95-2705767 N/A | Investment management; Investment management fees paid directly by plan Service code 28 | — | $195K |
| PACIFIC INVESTMENT MANAGEMENT CO EIN 33-0629048 N/A | Investment management; Investment management fees paid directly by plan Service code 28 | — | $188K |
| LEGAL & GENERAL INVESTMENT EIN 20-8058531 N/A | Investment management fees paid directly by plan; Investment management Service code 28 | — | $135K |
| DELTA EIN 38-1791480 N/A | Contract Administrator; Participant communication; Direct payment from the plan; Other services; Float revenue; Claims processing; Non-monetary compensation Service code 12 | — | $128K |
| WILLIS TOWERS WATSON EIN 53-0181291 N/A | Actuarial; Direct payment from the plan Service code 11 | — | $115K |
| EPOCH INVESTMENT PARTNERS EIN 20-1003862 N/A | Investment management fees paid directly by plan; Investment management Service code 28 | — | $99K |
| VISION SERVICE PLAN EIN 31-1072574 N/A | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $14K |
| MERCER EIN 13-2834414 N/A | Direct payment from the plan; Actuarial Service code 11 | — | $6K |
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 | 5,812 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,812 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 88 | $530K |
| Life insurance(2 contracts) | SECURIAN LIFE INSURANCE COMPANY | 4,434 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,434 | — |
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.