| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $73K | $73K | 1.82% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $42 | $42 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE, INC | LOCKBOX 28852 NEW YORK, NY 10087 | HARTFORD LIFE AND ACCIDENT | — | $50K | $50K | 2.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $11K | $11K | 1.82% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $42 | $42 | 0.01% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $23K | $8K | $31K | 14.56% |
| BARENS, KRISTIN, LUCILLE3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $15K | $311 | $15K | 6.99% |
| M. FINANCIAL HOLDINGS INCORPORATED3 Filed as: M FINANCIAL HOLDINGS INC STE 900 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $7K | $7K | 3.07% |
| MULLIN BARENS SANFORD FINANCIAL3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $4K | $4K | 1.75% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $11K | $0 | $11K | 12.93% |
| BARENS, KRISTIN, LUCILLE3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 3.92% |
| M. FINANCIAL HOLDINGS INCORPORATED3 Filed as: M FINANCIAL HOLDINGS INC STE 900 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $2K | $2K | 2.09% |
| PEACOCK, GEORGE, JOSEPH3 | 3624 RAYMOND ST CHEVY CHASE, MD 20815 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $405 | $0 | $405 | 0.49% |
| CHADWELL, BRIAN, BARTON C/O CHADWEL3 | 21021 VENTURA BLVD STE 400 WOODLAND HILLS, CA 91364 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $166 | $0 | $166 | 0.20% |
| MULLIN BARENS SANFORD FINANCIAL3 Filed as: MULLIN BARENCS SANFORD FINANCIAL | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $47 | $0 | $47 | 0.06% |
| M. FINANCIAL HOLDINGS INCORPORATED3 Filed as: M FINANCIAL HOLDINGS INC STE 900 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $6K | $6K | 52.15% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $856 | $2K | 18.30% |
| BARENS, KRISTIN, LUCILLE3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $216 | $168 | $384 | 3.34% |
| MULLIN BARENS SANFORD FINANCIAL3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $55 | $55 | 0.48% |
| MULLIN BARENS SANFORD FINANCIAL3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $824 | $427 | $1K | 15.36% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $935 | $268 | $1K | 14.77% |
| M. FINANCIAL HOLDINGS INCORPORATED3 Filed as: M FINANCIAL HOLDINGS INC STE 900 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $315 | $315 | 3.87% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $93 | $100 | $193 | 22.26% |
| BARENS, KRISTIN, LUCILLE3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $93 | $58 | $151 | 17.42% |
| M. FINANCIAL HOLDINGS INCORPORATED3 Filed as: M FINANCIAL HOLDINGS INC STE 900 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $0 | $32 | $32 | 3.69% |
| MULLIN BARENS SANFORD FINANCIAL3 | 2242 PURDUE AVE LOS ANGELES, CA 90064 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $0 | $23 | $23 | 2.65% |
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 | 6,853 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 308 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 591 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 7 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 7,759 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | 859 | $4.1M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,745 | $395K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 13,842 | $4.0M |
| Long-term disability(6 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 9,553 | $2.8M |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 8,403 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,842 | — |
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.