| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | SECURIAN LIFE INSURANCE COMPANY | — | $12K | $12K | 2.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILLIS TOWERS WATSON EIN 53-0181291 NONE | Contract Administrator; Participant communication; Direct payment from the plan Service code 13 | — | $518K |
| HEALTH CARE SERVICE CORPORATION EIN 36-1236610 NONE | Other fees; Contract Administrator; Direct payment from the plan Service code 13 | — | $498K |
| CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $344K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $50K |
| BUSINESSOLVER.COM EIN 42-1503807 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $29K |
| CARRUM HEALTH, INC. NONE | Contract Administrator; Direct payment from the plan Service code 13 | 100 1ST STREET STE 350 SAN FRANCISCO, CA 94105 | $28K |
| CIGNA HEALTH AND LIFE INS. COMPANY EIN 59-1031071 NONE | Participant communication; Non-monetary compensation; Float revenue; Other services; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $26K |
| LIVONGO HEALTH INC NONE | Contract Administrator; Direct payment from the plan Service code 13 | 150 W EVELYN AVE, SUITE 150 MT VIEW, CA 94041 | $17K |
| BRYAN CAVE LLP NONE | Legal; Direct payment from the plan Service code 29 | 161 NORTH CLARK STREET, STE 4300 CHICAGO, IL 60601 | $17K |
| CROWE LLP EIN 35-0921680 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| THE HARTFORD EIN 06-0838648 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $12K |
| BELL LITHO, INC. EIN 36-2550923 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4,515 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,515 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PARAMOUNT HEALTHCARE | 42 | $389K |
| Life insurance | SECURIAN LIFE INSURANCE COMPANY | 3,905 | $514K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,905 | — |
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.