| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK CONSULTANTS LLC3 | PO BOX 202617 DALLAS, TX 753202617 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $10K | $10K | 0.60% |
| BUCK CONSULTANTS LLC3 | 200 BERWYN PARK STE 110 BERWYN, PA 193121178 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $70 | $70 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF IL EIN 36-1236610 NONE | Other fees; Direct payment from the plan; Contract Administrator Service code 13 | — | $6.1M |
| XEROX HR SOLUTIONS EIN 32-0293031 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $1.4M |
| CASTLIGHT EIN 26-1989091 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $1.4M |
| TOWERS WATSON DELAWARE, INC. EIN 53-0181291 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $618K |
| RESOURCES GLOBAL PROFESSIONALS EIN 33-0832424 NONE | Direct payment from the plan; Consulting fees; Consulting (general) Service code 16 | — | $596K |
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $511K |
| CAREMARK NONE | Contract Administrator; Direct payment from the plan Service code 13 | ONE CVS DRIVE WOONSOCKET, RI 02895 | $403K |
| CENTER FOR MEDICARE AND MEDICAL SER NONE | Direct payment from the plan; Other services Service code 49 | 7500 SECURITY BOULEVARD BALTIMORE, MD 21244 | $376K |
| MAGELLAN BEHAVIORAL HEALTH EIN 52-2135463 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $306K |
| DELTA DENTAL EIN 36-2612058 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $274K |
| BELL LITHO EIN 36-2550923 NONE | Participant communication; Direct payment from the plan; Copying and duplicating; Other services Service code 36 | — | $105K |
| CAPITOL HR CONSULTING EIN 26-1226363 NONE | Consulting (pension); Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | — | $58K |
| GUIDESPARK EIN 26-2229814 NONE | Direct payment from the plan; Other services Service code 49 | — | $48K |
| MD LIVE INC NONE | Direct payment from the plan; Contract Administrator Service code 13 | 13630 NW 8TH STREET SUITE 205 SUNRISE, FL 33325 | $38K |
| CROWE HORWARTH EIN 35-0921680 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $36K |
| JPMORGAN CHASE BANK EIN 13-4994650 TRUSTEE | Trustee (directed); Direct payment from the plan; Investment management fees paid indirectly by plan; Securities brokerage commissions and fees; Trustee (bank, trust company, or similar financial institution); Float revenue Service code 21 | — | $16K |
| EYEMED VISION CARE LLC EIN 31-1656473 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $13K |
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 | 11,649 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,509 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 31 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | UNITEDHEALTHCARE OF OREGON, INC. | 225 | $6.6M |
| Dental | AETNA LIFE INSURANCE COMPANY | 90 | $701K |
| Vision(3 contracts, 2 carriers) | EYEMED VISION CARE | 13,484 | $1.5M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 14,816 | $1.7M |
| Long-term disability | AETNA LIFE INSURANCE CO | 10 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,816 | — |
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.