| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.59% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELOITTE & TOUCHE LLP EIN 13-3891517 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $100K |
| WILLIS TOWERS WATSON DELAWARE INC. EIN 53-0181291 ACTUARY | Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Actuarial; Consulting (pension) Service code 11 | — | $66K |
| WESTERN ASSET MANAGEMENT COMPANY EIN 95-2705767 INVESTMENT MGR | Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $57K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 MEDICAL SERVICES | Contract Administrator; Non-monetary compensation; Participant communication; Float revenue; Named fiduciary; Other services; Claims processing; Direct payment from the plan Service code 12 | — | $34K |
| US BANK NATIONAL ASSOCIATION EIN 41-6271370 PLAN TRUSTEE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $19K |
| PKF O'CONNOR DAVIES LLP EIN 27-1728945 ACCOUNTANT/AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| GRANT THORNTON LLP EIN 36-6055558 FORM 5500 PREP | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $11K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,528 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,528 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 843 | $340K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 843 | $340K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 843 | — |
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.