| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, LLC | P O BOX 412703 BOSTON, MA 022410001 | METLIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.68% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, LLC | P O BOX 412703 BOSTON, MA 022410001 | METLIFE INSURANCE COMPANY | $0 | $9 | $9 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, LLC | P O BOX 412703 BOSTON, MA 022410001 | METLIFE INSURANCE COMPANY | $0 | $4K | $4K | 1.73% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, LLC | P O BOX 412703 BOSTON, MA 022410001 | METLIFE INSURANCE COMPANY | $0 | $2 | $2 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| JP MORGAN CHASE BANK EIN 13-2624428 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $313K |
| ALPINE INVESTORS IX LP EIN 46-2333989 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $171K |
| HIGHMARK EIN 23-1294723 INS-SVCS | Direct payment from the plan; Insurance services Service code 23 | — | $136K |
| ANTHEM EIN 54-0357120 INS-SVCS | Insurance services; Direct payment from the plan Service code 23 | — | $121K |
| EXPRESS SCRIPTS EIN 43-1420563 INS-SVCS | Insurance services; Direct payment from the plan Service code 23 | — | $104K |
| ALLSPRING INTERMEDIATE II LLC EIN 86-3510848 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $93K |
| ERNST & YOUNG U.S. LLP EIN 34-6565596 ACCNTG | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $92K |
| DELOITTE TOUCHE LLP EIN 13-3891517 ACCNTG | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $60K |
| DOMINION RESOURCES SVCS, INC. EIN 54-1229715 PLN ADMIN | Plan Administrator; Direct payment from the plan Service code 14 | — | $46K |
| PWP GROWTH EQUITY FUND II LP EIN 27-3051243 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $45K |
| TRILANTIC ENERGY PTNS PARALLEL EIN 46-4688952 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $42K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | — | $40K |
| BNY MELLON EIN 13-2614959 TRTE-DIR | Direct payment from the plan; Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $31K |
| A&M CAPITAL PARTNERS II EIN 46-2333989 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $27K |
| PWP GROWTH EQUITY FUND I LP EIN 37-1731370 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $27K |
| NB RE SECONDARY OPP OFFSHORE EIN 06-1834242 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $22K |
| NB PRIVATE EQUITY CREDIT OPPORTUNIT EIN 35-2574859 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $21K |
| HRA ADMIN EXPENSES EIN 26-0775680 INS-SVCS | Direct payment from the plan; Insurance services Service code 23 | — | $18K |
| KKR AMERICAS FUND XII LP EIN 98-1279368 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $16K |
| VIRTU AMERICAS LLC, NEW YORK EIN 26-4219373 BROKG | Securities brokerage; Other commissions Service code 33 | — | $10K |
| A & M CAPITAL PARTNERS LP EIN 23-2817243 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $7K |
| WELSH, CARSON, ANDERSON & STOWE XII EIN 32-0455106 INV MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $7K |
| KIRKLAND & ELLIS LLP EIN 36-1326630 LEGAL | Legal; Direct payment from the plan Service code 29 | — | $5K |
| MSCI, INC. EIN 13-4038723 INADV-PL | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $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 | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | METLIFE INSURANCE COMPANY | 0 | $507K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.