| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AETNA HEALTH, INC. | — | $4K | $4K | 0.71% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 3.23% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IA 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $867 | — | $867 | 10.00% |
| ROBERT HUNTER WHITTINGTON3 Filed as: ROBERT H. WHITTINGTON | 700 WEST HILLSBORO BOULEVARD SUITE 102 DEERFIELD BEACH, FL 33441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 26.93% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 18.00% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS, LLC | 700 WEST HILLSBORO BOULEVARD SUITE 2-102 DEEFIELD BEACH, FL 33441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 15.08% |
| ROBERT HUNTER WHITTINGTON3 Filed as: ROBERT H. WHITTINGTON | 700 WEST HILLSBORO BOULEVARD BUILDIN 2-102 DEERFIELD BEACH, FL 33441 | RELIANCE STANDARD INSURANCE COMPANY | $2K | — | $2K | 31.46% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD INSURANCE COMPANY | $1K | — | $1K | 17.99% |
| US BENTEC WORKPLACE SOLUTIONS3 | 99 WOOD AVENUE SOUTH SUITE 501 ISELIN, NJ 08830 | RELIANCE STANDARD INSURANCE COMPANY | $645 | — | $645 | 10.54% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $590 | — | $590 | 10.01% |
| ROBERT HUNTER WHITTINGTON3 Filed as: ROBERT H. WHITTINGTON | 700 WEST HILLSBORO BOULEVARD BUILDING 2, SUITE 102 DEEFIELD BEACH, FL 33441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $920 | — | $920 | 26.86% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $616 | — | $616 | 17.99% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS, LLC | 700 WEST HILLSBORO BOULEVARD SUITE 2-102 DEERFIELD BEACH, FL 33441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $519 | — | $519 | 15.15% |
No Schedule C service providers reported on this filing.
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 | 117 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | AETNA HEALTH, INC. | 125 | $655K |
| Dental | AETNA LIFE INSURANCE COMPANY | 125 | $119K |
| Vision | AETNA LIFE INSURANCE COMPANY | 125 | $119K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 117 | $16K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 26 | $9K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 117 | $19K |
| Other(5 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 117 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.