| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEDGWICK CLAIMS MANAGEMENT SERVICES5 Filed as: SEDGWICK CLAIMS MANAGEMENT SVCS. | 2620 THOUSAND OAKS BLVD. MEMPHIS, TN 38118 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $2.9M | $2.9M | 14.82% |
| AON CONSULTING INC5 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $168K | $168K | 0.84% |
| SURVIVOR OUTREACH SERVICES5 Filed as: SURVIVOR OUTREACH SERVICES, LLC | 2591 DALLAS PARKWAY, SUITE 203 FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $110K | $110K | 0.55% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 100878852 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $45K | $45K | 0.23% |
| AXA ASSISTANCE, USA5 | 122 S. MICHIGAN AVE., SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $18K | $18K | 0.09% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 29840 NETWORK PLACE CHICAGO, IL 606731298 | AETNA LIFE INSURANCE CO. | — | $41 | $41 | 0.00% |
| BENEPLACE, INC.3 Filed as: BENEPLACE INC. | P.O. BOX 203550 AUSTIN, TX 787203550 | HYATT LEGAL PLANS | $67K | $3K | $70K | 10.46% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES | 4 OVERLOOK POINT LINCOLNSHIRE, IL 600694302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $26K | — | $26K | 10.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES OR PUERTO RICO | 75 REMITTANCE DR., SUITE 1446 CHICAGO, IL 60675 | TRIPLE S SALUD, INC. | $5K | — | $5K | 5.00% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES | 4 OVERLOOK POINT LINCOLNSHIRE, IL 600694302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
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 | 51,521 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 380 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 51,901 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(13 contracts, 11 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 6,077 | $74.9M |
| Dental(4 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 14,148 | $6.1M |
| Vision | VISION SERVICE PLAN | 31,516 | $5.1M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,521 | $19.9M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,521 | $19.9M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,521 | $19.9M |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 698 | $3.9M |
| Other(6 contracts, 6 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,521 | $24.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 51,521 | — |
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.