| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE ST STE 1710 BOSTON, MA 021091807 | METLIFE INSURANCE COMPANY | $0 | $60K | $60K | 0.99% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE ST STE 1710 SCANA CORPORATION, MA 021091807 | METLIFE INSURANCE COMPANY | $0 | $9K | $9K | 0.77% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM EIN 54-0357120 INS SVCS | Insurance services Service code 23 | — | $2.2M |
| JPMORGAN CHASE BANK EIN 13-2624428 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $1.7M |
| A&M CAPITAL PARTNERS II LP EIN 46-2333989 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $671K |
| WILLIS TOWERS WATSON'S ONEEXCHANGE EIN 26-0775680 INS SVCS | Insurance services Service code 23 | — | $538K |
| PRUDENTIAL TRUST CO EIN 22-1211670 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $411K |
| WELLS CAPITAL MANAGEMENT EIN 95-3692822 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $406K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 ACTUARY | Actuarial Service code 11 | — | $273K |
| PWP GROWTH EQUITY FUND I LP EIN 37-1731370 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $259K |
| ALIGHT SOLUTIONS LLC EIN 82-1061233 PLN-ADMR | Plan Administrator Service code 14 | — | $254K |
| EXPRESS SCRIPTS EIN 43-1420563 INS SVCS | Insurance services Service code 23 | — | $236K |
| A&M CAPITAL PARTNERS LP EIN 46-2333989 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $226K |
| ERNST & YOUNG US LLP EIN 34-6565596 ACCTG | Accounting (including auditing) Service code 10 | — | $203K |
| CENTERSQUARE INVESTMENT MANAGEMENT EIN 23-2817243 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $182K |
| KKR AMERICAS FUND XII LP EIN 98-1279368 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $168K |
| TRILANTIC ENERGY PARTNERS II PARALL EIN 46-4688952 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $154K |
| KOHLBERG TE INVESTORS IX, L.P. EIN 84-3726326 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $133K |
| DOMINION RESOURCES SVCS, INC. EIN 54-1229715 PLAN ADMIN | Plan Administrator Service code 14 | — | $131K |
| UBS GLOBAL ASSET MANAGEMENT EIN 36-3718331 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $122K |
| PWP GROWTH EQUITY FUND II LP EIN 27-3051243 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $85K |
| HIGHMARK EIN 23-1294723 INS SVCS | Insurance services Service code 23 | — | $80K |
| KEYBANK NATIONAL ASSOCIATION EIN 34-0797057 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $77K |
| NB SECONDARY OPPORTUNITIES FUND II EIN 06-1834242 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $63K |
| NB PRIVATE EQUITY CREDIT OPPORTUNIT EIN 35-2574859 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $59K |
| WELSH, CARSON, ANDERSON & STOWE XII EIN 32-0455106 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $53K |
| STATE STREET BANK & TRUST CO EIN 04-1867445 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $39K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 ACCTG | Accounting (including auditing) Service code 10 | — | $38K |
| TRILANTIC ENERGY PARTNERS N. AMERIC EIN 34-4807607 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $36K |
| TRILANTIC CAPITAL PARTNERS IV LP EIN 26-0671813 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $27K |
| NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $19K |
| NB CO-INVESTMENT PARTNERS EIN 20-5357220 INV MGR | Investment management fees paid directly by plan Service code 51 | — | $15K |
| CAISSA, LLC EIN 80-0703957 OTHER | Other fees Service code 99 | — | $12K |
| CREDIT SUISSE AG, NEW YORK BRANCH EIN 13-1898818 BRKG | Other commissions Service code 55 | — | $8K |
| UBS AG STAMFORD BRANCH EIN 61-5958480 BRKG | Other commissions Service code 55 | — | $8K |
| LIQUIDNET INC EIN 13-4095933 BRKG | Other commissions Service code 55 | — | $6K |
| MORGAN STANLEY AND CO., LLC EIN 13-2655998 BRKG | Other commissions Service code 55 | — | $6K |
| JEFFERIES LLC. EIN 95-2622900 BRKG | Other commissions Service code 55 | — | $6K |
| BANK OF AMERICA CORPORATION EIN 56-0906609 BRKG | Other commissions Service code 55 | — | $5K |
| GOLDMAN, SACHS AND CO. EIN 11-3818954 BRKG | Other commissions Service code 55 | — | $5K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10,380 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 10,380 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | METLIFE INSURANCE COMPANY | 9,675 | $7.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,675 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.