| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 39030 TREASURY CENTER CHICAGO, IL 606949000 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $58K | — | $58K | 4.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 100878852 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $24K | $24K | 1.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $84K | $3K | $87K | 60.78% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $44K | $2K | $46K | 60.89% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | P.O. BOX 28852 COMMISSION LOCKBOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $140 | — | $140 | 1.25% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEWITT ASSOCIATES, LLC EIN 36-2235791 NONE | Plan Administrator; Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $1.0M |
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 | 5,580 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,882 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 92 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TUFTS HEALTH PLAN MEDICARE PREFERRED | 1,026 | $3.3M |
| Vision | VISION SERVICE PLAN | 3,185 | $617K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 9,318 | $10.0M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 5,604 | $1.3M |
| Prescription drug(2 contracts, 2 carriers) | TUFTS HEALTH PLAN MEDICARE PREFERRED | 1,026 | $3.3M |
| Other(7 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 8,669 | $4.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,318 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.