| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC. | 2300 RENNAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | PRUDENTIAL | $100K | $100K | $200K | 4.00% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $4K | $4K | 0.08% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC. | 2300 RENNAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | PRUDENTIAL | $65K | $62K | $127K | 3.91% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $3K | $3K | 0.08% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCCLENNAN AGENCY | 2300 RENAISSANCE BOULEVARD ATTN 001567 KING OF PRUSSIA, PA 19406 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $57K | $29K | $86K | 3.02% |
| YOUDECIDE, INC.3 | 4450 RIVER GREEN PARKWAY SUITE 100-A DULUTH, GA 30096 | HYATT LEGAL PLANS | $9K | — | $9K | 10.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | TRION GROUP 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | — | $353 | $353 | 1.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK EIN 23-1294723 NA | Claims processing; Contract Administrator Service code 12 | — | $7.3M |
| SEDGWICK EIN 36-2685608 NA | Claims processing Service code 12 | — | $1.4M |
| CAREMARK EIN 95-3382344 NA | Claims processing Service code 12 | — | $891K |
| METLIFE EIN 13-5381829 NA | Claims processing Service code 12 | — | $562K |
| ADP EIN 22-1467904 NA | Contract Administrator Service code 13 | — | $493K |
| HOOPER HOMES EIN 22-1659359 NA | Contract Administrator Service code 13 | — | $424K |
| SIMPLYWELL EIN 20-0261707 NA | Contract Administrator Service code 13 | — | $335K |
| GEISINGER EIN 04-6076039 NA | Claims processing Service code 12 | — | $334K |
| VSP EIN 06-1227840 NA | Claims processing Service code 12 | — | $192K |
| ADVANCE MEDICAL EIN 32-0188784 NA | Contract Administrator Service code 13 | — | $129K |
| PAYFLEX EIN 91-1774434 NA | Contract Administrator Service code 13 | — | $89K |
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 | 24,294 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 24,294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 7 | $159K |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 7 | $159K |
| Life insurance(4 contracts, 3 carriers) | PRUDENTIAL | 44,770 | $8.3M |
| Long-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 15,966 | $2.9M |
| Other(5 contracts, 5 carriers) | EMPATHIA, INC. | 27,920 | $579K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 44,770 | — |
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.