| Metric | This plan | Peer median | Peer avg | vs. peer |
|---|---|---|---|---|
| Premium per covered life | $7K | $1K | $2K | +405.8% |
| Broker comp per covered life | $0 | $57 | $73 | -99.8% |
| Broker comp % of premium | 0.0% | 5.3% | 4.8% | -5.3 pp |
| Retention rate | 3.8% | 0.0% | 0.6% | |
| Premium YoY % | 2.5% | -2.6% | -17.9% | +5.1 pp |
| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH & BENEFITS LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | BLUE SHIELD OF CALIFORNIA, CALIFORNIA PHYSICIANS SERVICE | — | $33K | $33K | 0.11% |
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 | 202,013 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,804 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 205,817 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(24 contracts, 11 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 386,748 | $2.9B |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 386,748 | $2.5B |
| Vision | VISION SERVICE PLAN | 193,198 | $14.9M |
| Prescription drug(24 contracts, 11 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 386,748 | $2.9B |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 386,748 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.