| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 100 HALF DAY ROAD LINCOLNSHIRE, IL 60069 | CIGNA HEALTH AND LIFE INSURANCE | $0 | $828K | $828K | 2.04% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 606949000 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $265K | $265K | 2.02% |
| JAMES PEARL3 | 5503 NW CLUB HOUSE COVE PARKVILLE, MO 64152 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 0.20% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 60694 | AETNA LIFE INSURANCE CO. | $46K | $40 | $46K | 2.31% |
| POMS & ASSOCIATES INSURANCE BROKERS3 | 5700 CANOGA AVE SUITE 400 WOODLAND HILLS, CA 91367 | BLUE CROSS OF CALIFORNIA | $21K | — | $21K | 2.53% |
| POMS & ASSOCIATES INSURANCE BROKERS3 | 24025 PARK SORRENTO #110 CALABASAS, CA 91302 | BLUE CROSS OF CALIFORNIA | $14K | — | $14K | 1.60% |
| FARMERS INSURANCE GROUP3 | 4680 WILSHIRE BLVD LOS ANGELES, CA 90010 | BLUE CROSS OF CALIFORNIA | — | $36 | $36 | 0.00% |
| JAMES PEARL3 Filed as: JAMES PERAL | 5503 NW CLUB HOUSE CV PARKVILLE, MO 64152 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 0.78% |
| LOCKTON COMPANIES, LLC3 | C/O COMMERCE BANK P.O. BOX 843844 KANSAS CITY, MO 641843844 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 4.19% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 0.82% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE, STE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $2K | $2K | 0.63% |
| LOCKTON COMPANIES, LLC3 | — | TRIPLE S SALUD, INC. | $4K | $0 | $4K | 5.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 2.11% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 1.98% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $1K | — | $1K | 2.59% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE | 39030 TREASURY CENTER CHICAGO, IL 60694 | UPMC HEALTH OPTIONS | $833 | — | $833 | 1.79% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 606949000 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $682 | — | $682 | 1.79% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 606949000 | HEALTH NET | $514 | — | $514 | 1.94% |
| HEWITT INSURANCE BROKERAGE LLC3 | 39030 TREASURY CENTER CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $350 | — | $350 | 2.00% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $233 | — | $233 | 1.83% |
| HEWITT INSURANCE BROKERAGE LLC3 Filed as: HEWITT INSURANCE BROKERAGE, LLC | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | DEAN HEALTH PLAN INC | $128 | — | $128 | 1.91% |
| HEWITT INSURANCE BROKERAGE LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $34 | — | $34 | 2.90% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STATE STREET BANK & TRUST EIN 04-1867445 TRUSTEE | Other fees; Trustee (directed); Investment management; Direct payment from the plan Service code 25 | — | $26K |
| MAYER HOFFMAN MCCANN PC EIN 43-1947695 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $21K |
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 | 6,972 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,643 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 11,615 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(17 contracts, 16 carriers) | CIGNA HEALTH AND LIFE INSURANCE | 3,979 | $57.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3 | $45K |
| Vision(3 contracts, 2 carriers) | SURENCY LIFE AND HEALTH | 3,063 | $1.1M |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 7,112 | $3.3M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 5,991 | $148K |
| Prescription drug | TRIPLE S SALUD, INC. | 9 | $78K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 6,972 | $410K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,112 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.