| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | BLUECROSS BLUESHIELD OF TEXAS | $189K | $114K | $303K | 1.88% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $22K | — | $22K | 5.62% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $62K | — | $62K | 16.32% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 5.48% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 16.45% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 5.58% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $21 | — | $21 | 0.21% |
| KARMIE K COUGHLIN3 | 2229 WHITE MIST DR LAS VEGAS, NV 89134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $924 | — | $924 | 11.39% |
| DAVID M COUGHLIN3 | 2229 WHITE MIST DR LAS VEGAS, NV 89134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $142 | — | $142 | 1.75% |
| ANN C BECK3 | 19007 BOYD ST ELKHORN, NE 68022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $114 | — | $114 | 1.41% |
| MARY E MERICA3 | 5211 N 150 ST OMAHA, NE 68116 | CONTINENTAL AMERICAN INSURANCE COMPANY | $104 | — | $104 | 1.28% |
| DEE A COUGHLIN3 | 4906 N 139TH AVE OMAHA, NE 68164 | CONTINENTAL AMERICAN INSURANCE COMPANY | $65 | — | $65 | 0.80% |
| DAVID J MCCLELLAN3 Filed as: DAVID J BECK | 19007 BOYD ST ELKHORN, NE 68022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | 0.57% |
| DIANE BANG3 | 8501 N 180TH STREET BENNINGTON, NE 68007 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | 0.53% |
| MARK FRIEHE3 | 4611 S 96TH STREET STE 101 OMAHA, NE 68127 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.15% |
| ROBERT E. DUNCAN3 Filed as: ROBERT J OLSON | 2700 W RICHMAR AVE UNIT 187 LAS VEGAS, NV 89123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.15% |
| DANIEL B ELLIS3 | 751 HEBRON PARKWAY STE 220 LEWISVILLE, TX 75057 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.09% |
| CHRISTY F MELANCON3 | 172 HERITAGE PKWY BROUSSARD, LA 70518 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.07% |
| BETTE ANN POWELL3 Filed as: BETTE A POWELL | 5002 DIXIE GARDEN DRIVE SHREVEPORT, LA 71105 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| LAURA L STATOS3 | 2523 BERT KOUNS STE 121 SHREVEPORT, LA 71118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| MICHAEL SCHROEDER3 | 412 BONVUE ST LAKE CHARLES, LA 70605 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| SKYE A VERGENAL3 | 715 MALLARD CV NEW IBERIA, LA 70560 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
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 | 2,460 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,460 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 3,509 | $16.2M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 520 | $75K |
| Vision | VISION SERVICE PLAN | 1,516 | $178K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,353 | $589K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,353 | $6K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,353 | $389K |
| Other(6 contracts, 4 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,353 | $559K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,509 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.