| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 1 BEACON ST STE 17100 BOSTON, MA 021083107 | METLIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.49% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP A MARSH & MCLENNAN AGEN | 161 WASHINGTON ST STE 1200 CONSHOHOCKEN, PA 194282085 | METLIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 1 BEACON ST STE 17100 BOSTON, MA 021083107 | METLIFE INSURANCE COMPANY | $0 | $4K | $4K | 1.45% |
| 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 | — | $401K |
| HIGHMARK EIN 23-1294723 INS-SVCS | Direct payment from the plan; Insurance services Service code 23 | — | $200K |
| ANTHEM EIN 54-0357120 INS-SVCS | Insurance services; Direct payment from the plan Service code 23 | — | $162K |
| EXPRESS SCRIPTS EIN 43-1420563 INS-SVCS | Direct payment from the plan; Insurance services Service code 23 | — | $147K |
| KKR AMERICAS FUND XII LP EIN 98-1279368 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $112K |
| NORTHERN TRUST COMPANY EIN 36-1561860 TRTE-DIR | Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $110K |
| TRILANTIC ENERGY PARTNERS II PARALL EIN 46-4688952 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $96K |
| UBS GLOBAL ASSET MANAGEMENT EIN 36-3718331 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $87K |
| WELLS CAPITAL MANAGEMENT EIN 95-3692822 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $76K |
| ERNST & YOUNG US LLP EIN 34-6565596 ACCNTG | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $65K |
| PWP GROWTH EQUITY FUND II LP EIN 27-3051243 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $64K |
| WILLIS TOWERS WATSON EIN 53-0181291 ACTURAL | Direct payment from the plan; Actuarial Service code 11 | — | $63K |
| CENTERSQUARE INVESTMENT MANAGEMENT EIN 23-2817243 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $52K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 ACCNTG | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| PWP GROWTH EQUITY FUND I LP EIN 37-1731370 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $37K |
| TRILANTIC ENERGY PARTNERS NORTH AME EIN 34-4807607 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $36K |
| NB REAL ESTATE SECONDARY OPPORTUNIT EIN 06-1834242 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $32K |
| PRUDENTIAL INSURANCE CO. EIN 22-1211670 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $32K |
| DOMINION ENERGY SVCS, INC. EIN 54-1229715 PLN-ADMR | Plan Administrator; Direct payment from the plan Service code 14 | — | $27K |
| A&M CAPITAL PARTNERS II, LP EIN 46-2333989 INV-MGMT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $26K |
| NB PRIVATE EQUITY CREDIT OPPORTUNIT EIN 35-2574859 INV-MGMT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $25K |
| WILLIS TOWERS WATSON'S ONEEXCHANGE EIN 26-0775680 INS-SVCS | Direct payment from the plan; Insurance services Service code 23 | — | $16K |
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 | 886 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 886 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | METLIFE INSURANCE COMPANY | 591 | $672K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 591 | — |
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.