| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS AND COMPENSATION3 | SYSTEMS INC 99 PARK AVE FL 25 NEW YORK, NY 100161601 | METROPOLITAN LIFE INSURANCE COMPANY | — | $353K | $353K | 0.96% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC D/B/A | TOWERS WATSON DELAWARE INSU PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $208K | $31 | $208K | 0.56% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON PENNSYLVANIA INC | PO BOX 9102 PO BOX 8500 PHILADELPHIA, PA 191788500 | METROPOLITAN LIFE INSURANCE COMPANY | $87K | $31 | $87K | 0.23% |
| A.G. SIEBEN & ASSOCIATES3 Filed as: AG SIEBEN & ASSOCIATION | 800 AIRPORT BLVD, STE 318 BURLINGAME, CA 940101919 | METROPOLITAN LIFE INSURANCE COMPANY | $87K | $31K | $117K | 1.51% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON PENNSYLVANIA INC. | 345 CALIFORNIA ST SAN FRANCISCO, CA 941040216 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG, PA | $162K | — | $162K | 6.56% |
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 | 36,218 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 680 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 36,898 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 12,404 | $65.4M |
| Dental(3 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 195 | $1.8M |
| Life insurance(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 74,459 | $44.9M |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 74,459 | $37.1M |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 12,404 | $63.3M |
| Other(5 contracts, 4 carriers) | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG, PA | 36,423 | $6.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 74,459 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.