| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK GLOBAL LLC3 | PO BOX 207640 DALLAS, TX 753200001 | METROPOLITAN LIFE INSURANCE COMPANY | — | $23K | $23K | 13.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH CARE SERVICE CORPORATION EIN 36-1236610 NONE | Other fees; Contract Administrator; Direct payment from the plan Service code 13 | — | $4.6M |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 NONE | Contract Administrator; Direct payment from the plan; Participant communication Service code 13 | — | $2.7M |
| 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 | — | $464K |
| CIGNA HEALTH AND LIFE INS. COMPANY EIN 59-1031071 NONE | Participant communication; Float revenue; Contract Administrator; Non-monetary compensation; Claims processing; Other services; Direct payment from the plan Service code 12 | — | $333K |
| DELTA DENTAL EIN 36-2612058 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $260K |
| UNITED HEALTHCARE SERVICES, INC EIN 41-1289245 NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $230K |
| MAGELLAN BEHAVIORAL HEALTH EIN 52-2135463 NONE | Other services; Contract Administrator; Direct payment from the plan Service code 13 | — | $179K |
| ACCLARIS NONE | Other services; Direct payment from the plan Service code 49 | 1511 N WEST SHORE BLVD, STE 350 TAMPA, FL 33607 | $169K |
| CAPITOL HR CONSULTING EIN 26-1226363 NONE | Consulting (general); Consulting fees; Direct payment from the plan; Consulting (pension) Service code 16 | — | $90K |
| BELL LITHO EIN 36-2550923 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $61K |
| BRYAN CAVE LLP NONE | Legal; Direct payment from the plan Service code 29 | 161 NORTH CLARK STREET, STE 4300 CHICAGO, IL 60601 | $54K |
| CROWE LLP EIN 35-0921680 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $34K |
| KPMG NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 1350 AVENUE OF THE AMERICAS NEW YORK, NY 10019 | $28K |
| EYEMED VISION CARE LLC EIN 36-2136262 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $11K |
| ANDERSEN TAX, LLC NONE | Other services; Direct payment from the plan Service code 49 | 71 S WACKER DR #2600 CHICAGO, IL 60606 | $5K |
| JPMORGAN CHASE BANK EIN 13-4994650 TRUSTEE | Investment management fees paid indirectly by plan; Direct payment from the plan; Trustee (directed); Securities brokerage commissions and fees; Trustee (bank, trust company, or similar financial institution); Float revenue Service code 21 | — | $4K |
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 | 12,945 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,004 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,949 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | UNITEDHEALTHCARE OF OREGON, INC. | 261 | $7.4M |
| Dental | AETNA LIFE INSURANCE COMPANY | 23 | $570K |
| Vision(5 contracts, 2 carriers) | EYEMED VISION CARE | 12,547 | $1.5M |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 7,898 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,547 | — |
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.