| 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 | $117K | $25K | $143K | 8.53% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $51K | $11K | $62K | 8.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MONTANA EIN 81-0216685 N/A | Contract Administrator Service code 13 | — | $631K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 N/A | Contract Administrator Service code 13 | — | $461K |
| VIRGIN PULSE EIN 20-2547480 N/A | Contract Administrator Service code 13 | — | $82K |
| DELTA DENTAL INSURANCE COMPANY EIN 94-2761537 N/A | Contract Administrator Service code 13 | — | $59K |
| VISION SERVICE PLAN EIN 06-1227840 N/A | Contract Administrator Service code 13 | — | $37K |
| COMPSYCH EIN 36-3739783 N/A | Contract Administrator Service code 13 | — | $29K |
| MERCER INVESTMENTS LLC EIN 30-0282430 FIDUCIARY | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 51 | — | $29K |
| EMPYREAN BENEFIT SOLUTIONS, INC EIN 20-3029813 N/A | Contract Administrator Service code 13 | — | $24K |
| MERCER HEALTH & BENEFITS LLC EIN 13-2834414 N/A | Consulting (general) Service code 16 | — | $14K |
| VOYA BENEFITS COMPANY, LLC EIN 02-0488491 N/A | Contract Administrator Service code 13 | — | $11K |
| FIDELITY INVESTMENTS INSTITUTIONAL EIN 04-6568107 N/A | Contract Administrator Service code 13 | — | $8K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 N/A | Trustee (directed) Service code 25 | — | $7K |
| PEAK 1 ADMINISTRATORS EIN 37-1668953 N/A | Contract Administrator Service code 13 | — | $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 | 1,560 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 648 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,208 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 6,350 | $1.7M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,561 | $731K |
| Other | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 6,350 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,350 | — |
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.