| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 99 HIGH STREET BOSTON, MA 02110 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $25K | $26K | 1.67% |
| USI INSURANCE SERVICES LLC3 | 9394 W. DODGE ROAD SUITE 250 OMAHA, NE 68114 | UNITEDHEALTHCARE INSURANCE COMPANY | $732 | $13K | $14K | 0.88% |
| USI INSURANCE SERVICES LLC3 Filed as: USI COLORADO | 6501 S FIDDLERS GREEN CIRCLE SUITE 100 ENGLEWOOD, CA 80111 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 4.34% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 99 HIGH STREET BOSTON, MA 02110 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 1.52% |
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 | 188 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 469 | $1.6M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 426 | $18K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 469 | $1.6M |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 237 | $164K |
| Short-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 237 | $164K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 237 | $164K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 469 | $1.6M |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 237 | $164K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 469 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.