| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | P.O. BOX 28852 NEW YORK, NY 10087 | KAISER PERMANENTE | $560K | — | $560K | 2.56% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON PENNSYLVANIA, INC. | LOCKBOX #9102 P.O.BOX 8500 PHILADELPHIA, PA 191789102 | KAISER PERMANENTE | $33K | — | $33K | 0.15% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 10087 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $156K | $50K | $206K | 3.96% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $134K | $87K | $221K | 5.16% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON PENNSYLVANIA INC. | LOCKBOX #9102 PO BOX 8500 PHILADELPHIA, PA 19178 | METROPOLITAN LIFE INSURANCE COMPANY | $199 | $93 | $292 | 0.01% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $122K | — | $122K | 10.00% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | P.O. BOX 28852 NEW YORK, NY 10087 | HAWAII DENTAL SERVICE | $29K | — | $29K | 3.00% |
| MASTER UNUM ENROLL3 | 1 FOUNTAIN SQUARE CHATTANOOGA, TN 37402 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $35K | — | $35K | 4.26% |
| VISUAL BENEFIT COMMUNICATIONS INC3 | 7500 MEMORIAL PKWY SW STE 211 HUNTSVILLE, AL 35802 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $3K | — | $3K | 0.39% |
| SWETT & CRAWFORD OF ILLINOIS, INC.3 Filed as: SWETT & CRAWFORD OF ILLINOIS INC | 14TH FL ONE N FRANKLN ST CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $3K | — | $3K | 0.31% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION | SYSTEMS, INC. 99 PARK AVE 25TH FL NEW YORK, NY 10016 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $2K | — | $2K | 0.24% |
| TREIMER ANN LUETTA3 Filed as: TREIMER, ANN, LUETTA | 929 ONTARIO ST APT 3 OAK PARK, IL 60302 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $2K | — | $2K | 0.24% |
| WORTH, PETER, J3 | 25TH FLOOR 99 PARK AVE NEW YORK, NY 10016 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $1K | — | $1K | 0.14% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $963 | — | $963 | 0.12% |
| KING, VALERIE A.3 Filed as: KING, VALERIE, A | 406 BIG WOODS CIR BELTON, SC 29627 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $135 | — | $135 | 0.02% |
| DREYER, DOUGLAS, PAUL3 | 13 SCHILDBACH RD POUND RIDGE, NY 10576 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $88 | — | $88 | 0.01% |
| BAGWELL, TEARLE, DAVID3 | 7500 S. MEMORIAL PARKWAY STE 211 HUNTSVILLE, AL 35802 | PROVIDENT LIFE AND ACCIDENT INS CO AND PROVIDENT LIFE AND CASUALTY CO | $5 | — | $5 | 0.00% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | SIMNSA | $19K | — | $19K | 2.99% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 100878852 | AETNA LIFE INSURANCE COMPANY | $22K | — | $22K | 9.13% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 100878852 | UNITEDHEALTHCARE INSURANCE COMPANY | $17K | — | $17K | 7.52% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 100878852 | EYE MED | $16K | — | $16K | 9.15% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 10087 | FIRST UNUM LIFE INSURANCE COMPANY | — | $1K | $1K | 1.37% |
| AON CONSULTING INC Filed as: AON HEWITT | 199 WATER ST. NEW YORK, NY 10038 | ACE AMERICAN INSURANCE COMPANY | $8K | — | $8K | 20.00% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 10087 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $118 | $118 | 1.37% |
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 | 28,420 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 138 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,646 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 30,204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | KAISER PERMANENTE | 5,105 | $40.6M |
| Dental(4 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,861 | $9.0M |
| Vision(3 contracts, 3 carriers) | VISION SERVICE PLAN | 4,027 | $1.6M |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 43,807 | $4.5M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 49 | $9K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 22,376 | $5.2M |
| Prescription drug | TRIPLE S SALUD, INC. | 507 | $2.1M |
| Other(8 contracts, 7 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 43,807 | $18.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 43,807 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.