| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | — | $85K | $85K | 1.25% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL, INC. | 75 REMITTANCE DRIVE STE 1446 CHICAGO, IL 60675 | HARTFORD LIFE AND ACCIDENT | — | $19K | $19K | 0.27% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | — | $8K | $8K | 1.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 23-2229683 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $4.2M |
| HEALTH ADVOCATE | Plan Administrator; Direct payment from the plan Service code 14 | WALTON ROAD, SUITE 150 PLYMOUNTH MEETING, PA 19462 | $765K |
| DELTA DENTAL EIN 38-1791480 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $494K |
| LIVONGO | Claims processing Service code 12 | 150 W. EVELYN AVE, SUITE 150 MOUNTAIN VIEW, CA 94041 | $177K |
| CONNECT YOUR CARE | Contract Administrator; Consulting (general) Service code 13 | 307 INTERNATIONAL CIRCLE SUITE 200 HUNT VALLEY, MD 21030 | $75K |
| OPTUM RX EIN 33-0441200 | Contract Administrator; Claims processing Service code 12 | 1600 MCCONNOR PARKWAY SCHAUMBURG, IL 60173 | $67K |
| EYEMED VISION CARE LLC EIN 31-1656473 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $48K |
| DISCOVERY BENEFITS (COBRA) NONE | Contract Administrator; Claims processing Service code 12 | 4321 20TH AVE SW PO BOX 9528 FARGO, ND 581089528 | $41K |
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 | 8,442 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 420 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 8,862 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 22,125 | $6.8M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 22,125 | $6.8M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 22,125 | $6.8M |
| Stop-loss / reinsurancereinsurance | AETNA | 0 | $1.1M |
| Other | HARTFORD LIFE AND ACCIDENT | 8,496 | $594K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,125 | — |
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.