| 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 | — | $3.0M | $3.0M | 14.63% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $190K | — | $190K | 0.92% |
| SURVIVOR OUTREACH SERVICES5 Filed as: SURVIVOR OUTREACH SERVICES, LLC | 2591 DALLAS PARKWAY, SUITE 203 FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $49K | $49K | 0.24% |
| AXA ASSISTANCE, USA5 | 122 S. MICHIGAN AVE., SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $19K | $19K | 0.09% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 29840 NETWORK PLACE CHICAGO, IL 606731298 | AETNA LIFE INSURANCE CO. | — | $155 | $155 | 0.01% |
| SAMIR H. SHETH3 Filed as: SAMIR H SHETH | 601 W 5TH ST. STE 600 LOS ANGELES, CA 900712020 | RELIASTAR LIFE INSURANCE COMPANY | $56K | — | $56K | 5.90% |
| PHILLIP L. CURRIE3 Filed as: PHILLIP L CURRIE | 935 N SILENT RANCH DR. GLENDORA, CA 917411908 | RELIASTAR LIFE INSURANCE COMPANY | $39K | — | $39K | 4.10% |
| BLUE CHIP BENEFITS3 Filed as: BLUE CHIP BENEFITS, LLC | 410 ARCHIBALD ST. KANSAS CITY, MO 641113288 | RELIASTAR LIFE INSURANCE COMPANY | $17K | — | $17K | 1.81% |
| BENEPLACE, INC.3 Filed as: BENEPLACE INC. | P.O. BOX 203550 AUSTIN, TX 787203550 | METLIFE LEGAL PLANS | $53K | $4K | $57K | 8.22% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METLIFE LEGAL PLANS | $17K | $700 | $18K | 2.56% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $18K | — | $18K | 8.44% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES | 4 OVERLOOK POINT LINCOLNSHIRE, IL 600694302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 1.93% |
| 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% |
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 | 49,639 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 336 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 49,975 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(12 contracts, 11 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 6,344 | $79.1M |
| Dental(4 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 14,244 | $6.1M |
| Vision | VISION SERVICE PLAN | 33,521 | $5.4M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,888 | $20.7M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,888 | $20.7M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,888 | $20.7M |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 377 | $4.1M |
| Other(7 contracts, 7 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 51,888 | $25.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 51,888 | — |
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.