| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $2K | $2K | 0.84% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $772 | $772 | 0.82% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 121 RIVER STREET SUITE 7 HOBOKEN, NJ 07030 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | $0 | $10K | 15.38% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $548 | $3K | 6.20% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $540 | $3K | 6.28% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $295 | $295 | 0.77% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | $234 | $1K | 6.11% |
| MARK E SULLIVAN4 Filed as: MARK E. SULLIVAN | 9211 FOREST CREEK DRIVE TOMBALL, TX 77375 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $1K | $0 | $1K | 5.87% |
| MERCER HEALTH AND BENEFITS, LLC4 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 3031 NORTH ROCKY POINT DRIVE WEST SUITE 700 TAMPA, FL 33607 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $843 | $0 | $843 | 4.30% |
| GREGORY A BARONE4 Filed as: GREGORY A. BARONE | 130 CLEAR WATER STREET WEST MONTGOMERY, TX 77356 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $179 | $0 | $179 | 0.91% |
| EDUCATIONAL EDGE, INC.4 | 24200 SOUTHEAST FREEWAY SUITE 402-355 ROSENBERG, TX 77471 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $73 | $0 | $73 | 0.37% |
| SANDRA BOYETT4 | PO BOX 605 DICKINSON, TX 77539 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $24 | $0 | $24 | 0.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, LLC. | 221 WEST 6TH STREET AUSTIN, TX 78701 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $612 | $0 | $612 | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, LLC. | 221 WEST 6TH STREET AUSTIN, TX 78701 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $272 | $0 | $272 | 15.03% |
No Schedule C service providers reported on this filing.
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 | 722 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 737 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 153 | $107K |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,432 | $874K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,432 | $810K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,210 | $234K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 722 | $94K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 7 | $64K |
| Other(8 contracts, 6 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,715 | $146K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,715 | — |
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.