| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV. LLC | SUITE 1710 75 STATE ST BOSTON, MA 02109 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $259K | — | $259K | 1.93% |
| WILLIS TOWERS WATSON US LLC3 | P.O BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC. | $59K | — | $59K | 1.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 75 STATE ST STE 1710 BOSTON, MA 02109 | HARTFORD LIFE AND ACCIDENT | — | $102K | $102K | 1.83% |
| WILLIS TOWERS WATSON US LLC3 | P.O BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $32K | — | $32K | 1.03% |
| SUSANNA M RUSSELL3 | 28411 NORTHWESTERN STE 500 SOUTHFIELD, MI 480345516 | BLUE CARE NETWORK OF MICHIGAN | $41K | — | $41K | 1.73% |
| WILLIS TOWERS WATSON US LLC3 | 26555 EVERGREEN RD STE 1600 SOUTHFIELD, MI 480764257 | BLUE CARE NETWORK OF MICHIGAN | — | $966 | $966 | 0.04% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX #28852 P.O BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $24K | — | $24K | 1.02% |
| SYSCO CORPORATION5 | 1390 ENCLAVE PARKWAY HOUSTON, TX 77077 | METROPOLITAN LIFE INSURANCE COMPANY | — | $117K | $117K | 8.20% |
| WILLIS TOWERS WATSON US LLC3 | P.O BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $31 | $31 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 | P.O BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC. | $12K | — | $12K | 0.93% |
| WILLIS TOWERS WATSON US LLC3 | P.O BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | — | $31 | $31 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE | P. O. BOX 28852 NEY YORK, NY 30374 | HEALTH ALLIANCE PLAN | $9K | — | $9K | 1.02% |
| WILLIS TOWERS WATSON US LLC3 | P.O BOX 28852 NEW YORK, NY 100878852 | SELECTHEALTH | $5K | — | $5K | 0.99% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | UPMC HEALTH OPTIONS | $5K | — | $5K | 1.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON US LLC | P.O. BOX 28852 NEW YORK, NY 10087 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $2K | — | $2K | 0.44% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | 901 NORTH GLEBE ROAD SUITE 600 ARLINGTON, VA 22203 | HEALTH ALLIANCE MEDICAL PLANS | $5K | — | $5K | 1.67% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 0.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA | PO BOX 301598 DALLAS, TX 75303 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22K | — | $22K | 15.45% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV | C/O BEECHER CARLSON 75 STATE ST SUITE 1710 BOSTON, MA 02109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $1K | $10K | 17.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | 901 NORTH GLEBE ROAD SUITE 600 ARLINGTON, VA 22203 | HEALTH ALLIANCE MEDICAL PLANS | $756 | — | $756 | 1.70% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | UPMC HEALTH OPTIONS | $177 | — | $177 | 1.09% |
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 | 33,578 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,046 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6,957 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 41,581 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(21 contracts, 14 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 7,689 | $24.8M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 29,621 | $13.4M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 59 | $60K |
| Prescription drug(19 contracts, 13 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 716 | $22.3M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 30,197 | $6.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 30,197 | — |
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."
No prospect flags tripped on this filing.