| 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 | $4K | $4K | 0.72% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 75 STATE ST STE 1710 BOSTON, MA 021091807 | METLIFE INSURANCE COMPANY | $0 | $4K | $4K | 1.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| JPMORGAN CHASE BANK EIN 13-2624428 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $400K |
| A&M CAPITAL PARTNERS II, LP EIN 46-2333989 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $322K |
| HIGHMARK EIN 23-1294723 INSURANCE SVCS | Insurance services Service code 23 | — | $207K |
| ANTHEM EIN 54-0357120 INSURANCE SVCS | Insurance services Service code 23 | — | $189K |
| PWP GROWTH EQUITY FUND I LP EIN 37-1731370 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $152K |
| KKR NORTH AMERICAS FUND XII EIN 98-1279368 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $99K |
| PRUDENTIAL INSURANCE CO EIN 22-1211670 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $92K |
| WELLS CAPITAL MANAGEMENT EIN 95-3692822 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $81K |
| TRILANTIC ENERGY PARTNERS II PARALL EIN 46-4688952 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $77K |
| A&M CAPITAL PARTNERS LP EIN 46-2333989 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $73K |
| EXPRESS SCRIPTS EIN 43-1420563 INSURANCE SVCS | Insurance services Service code 23 | — | $64K |
| CENTERSQUARE INVESTMENT MANAGEMENT EIN 23-2817243 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $55K |
| ERNST & YOUNG LLP EIN 34-6565596 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $45K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $45K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 ACTUARY | Actuarial Service code 11 | — | $44K |
| NB REAL ESTATE SECONDARY OPPORTUNIT EIN 06-1834242 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $38K |
| DOMINION ENERGY SERVICES, INC. EIN 54-1229715 PLAN ADMIN | Plan Administrator Service code 14 | — | $33K |
| NB PRIVATE EQUITY CREDIT OPPORTUNIT EIN 35-2574859 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $29K |
| UBS GLOBAL ASSET MANAGEMENT EIN 36-3718331 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $28K |
| WILLIS TOWERS WATSON'S ONEEXCHANGE EIN 26-0775680 INSURANCE SVCS | Insurance services Service code 23 | — | $26K |
| WELSH, CARSON, ANDERSON & STOWE XII EIN 32-0455106 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $22K |
| TRILANTIC ENERGY PARTNERS EIN 34-4807607 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $12K |
| STATE STREET BANK & TRUST CO. EIN 04-1867445 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $8K |
| NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $7K |
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 | 966 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 966 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | METLIFE INSURANCE COMPANY | 704 | $770K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 704 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.