| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK GLOBAL LLC3 | PO BOX 202617 DALLAS, TX 753202617 | METROPOLITAN LIFE INSURANCE COMPANY | — | $54K | $54K | 2.82% |
| BUCK GLOBAL LLC3 | 200 BERWYN PARK STE 110 BERWYN, PA 193121178 | METROPOLITAN LIFE INSURANCE COMPANY | — | $13 | $13 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH CARE SERVICE CORPORATION EIN 36-1236610 NONE | Direct payment from the plan; Other fees; Contract Administrator Service code 13 | — | $4.7M |
| TOWERS WATSON DELAWARE, INC. EIN 53-0181291 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $2.5M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.2M |
| CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $314K |
| CIGNA HEALTH AND LIFE INS. COMPANY EIN 59-1031071 NONE | Float revenue; Claims processing; Non-monetary compensation; Contract Administrator; Other services; Direct payment from the plan; Participant communication Service code 12 | — | $304K |
| CONDUENT HR CONSULTING EIN 81-2983623 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Recordkeeping fees Service code 15 | — | $293K |
| DELTA DENTAL EIN 36-2612058 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $264K |
| MAGELLAN BEHAVIORAL HEALTH EIN 52-2135463 NONE | Contract Administrator; Other services; Direct payment from the plan Service code 13 | — | $180K |
| UNITED HEALTHCARE SERVICES, INC EIN 41-1289245 NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $171K |
| BELL LITHO INC EIN 36-2550923 NONE | Copying and duplicating; Participant communication; Other services; Direct payment from the plan Service code 36 | — | $98K |
| CAPITOL HR CONSULTING EIN 26-1226363 NONE | Direct payment from the plan; Consulting (pension); Consulting (general); Consulting fees Service code 16 | — | $82K |
| CROWE EIN 35-0921680 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $32K |
| RESOURCES GLOBAL PROFESSIONALS EIN 33-0832424 NONE | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | — | $15K |
| EYEMED VISION CARE LLC EIN 36-2136262 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $12K |
| JPMORGAN CHASE BANK EIN 13-4994650 TRUSTEE | Investment management fees paid indirectly by plan; Trustee (bank, trust company, or similar financial institution); Securities brokerage commissions and fees; Direct payment from the plan; Trustee (directed); Float revenue Service code 21 | — | $9K |
| O'CONNOR DESIGN, INC. EIN 36-3800364 NONE | Direct payment from the plan; Other services; Consulting (general) Service code 16 | — | $5K |
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 | 12,522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,547 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,069 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | UNITEDHEALTHCARE OF OREGON, INC. | 248 | $7.5M |
| Dental | AETNA LIFE INSURANCE COMPANY | 100 | $822K |
| Vision(3 contracts, 2 carriers) | EYEMED VISION CARE | 13,141 | $1.8M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 12,266 | $1.9M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 12,266 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,141 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.