| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $130K | $35K | $166K | 9.56% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $48K | $14K | $62K | 9.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MONTANA EIN 81-0216685 N/A | Contract Administrator Service code 13 | — | $584K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 N/A | Claims processing Service code 12 | — | $129K |
| VIRGIN PULSE EIN 20-2547480 N/A | Contract Administrator Service code 13 | — | $123K |
| DELTA DENTAL INSURANCE COMPANY EIN 94-2761537 N/A | Contract Administrator Service code 13 | — | $57K |
| VISION SERVICE PLAN EIN 06-1227840 N/A | Contract Administrator Service code 13 | — | $35K |
| MERCER INVESTMENTS LLC EIN 30-0282430 FIDUCIARY | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $30K |
| COMPSYCH EIN 36-3739783 N/A | Contract Administrator Service code 13 | — | $29K |
| MERCER HEALTH & BENEFITS LLC EIN 13-2834414 N/A | Consulting (general) Service code 16 | — | $14K |
| PEAK 1 ADMINISTRATORS EIN 37-1668953 N/A | Contract Administrator Service code 13 | — | $14K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 N/A | Investment advisory (participants) Service code 26 | — | $7K |
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 | 1,531 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 702 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,233 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 6,356 | $1.7M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,529 | $688K |
| Other | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 6,356 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,356 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.