| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 1125 SANCTUARY PKWT, STE 300 ALPHARETTA, GA 300197614 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | $55 | $15K | 1.77% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER RD, STE 900 HOUSTON, TX 770565306 | METROPOLITAN LIFE INSURANCE COMPANY | — | $12K | $12K | 1.44% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER RD, STE 900 HOUSTON, TX 770565306 | METROPOLITAN LIFE INSURANCE COMPANY | — | $82 | $82 | 0.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299, DB EB OPERATING ACCT PASADENA, CA 91109 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $5K | $5K | 49.52% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299, DB EB OPERATING ACCT PASADENA, CA 91109 | METLIFE LEGAL PLANS OF FLORIDA | $555 | — | $555 | 10.10% |
| PAYLOGIX3 Filed as: PAYLOGIX, LLC | 1025 OLD COUNTRY RD, SUITE 310 WESTBURY, NY 11590 | METLIFE LEGAL PLANS OF FLORIDA | — | $138 | $138 | 2.51% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | METLIFE LEGAL PLANS OF FLORIDA | — | $87 | $87 | 1.58% |
| ALLIANT INSURANCE SERVICES, INC. | 3600 N CAPITAL OF TEXAS HWY AUSTIN, TX 78746 | METLIFE LEGAL PLANS OF FLORIDA | — | $55 | $55 | 1.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299, DB EB OPERATING ACCT PASADENA, CA 91109 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 198.18% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299, DB EB OPERATING ACCT PASADENA, CA 91109 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $367 | $367 | 2293.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC EIN 33-0441200 PHARMACY BENEFIT MGMT | Float revenue; Other fees; Claims processing; Direct payment from the plan Service code 12 | PO BOX 2975 MISSION, KS 66201 | $3.9M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Other fees; Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $951K |
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 | 3,555 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,565 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 3,388 | $849K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 3,388 | $849K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,555 | $186K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,240 | $333K |
| Long-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,536 | $289K |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,555 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,555 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.