| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENESSEE INC | 26 CENTURY BLVD NASHVILLE, TN 372143685 | METROPOLITAN LIFE INSURANCE COMPANY | — | $16K | $16K | 0.65% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWER WATSON SOUTHEAST INC | PO BOX 13784 NEWARK, NJ 071883784 | METROPOLITAN LIFE INSURANCE COMPANY | — | $31 | $31 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | PO BOX 13784 NEWARK, NJ 071883784 | METROPOLITAN LIFE INSURANCE COMPANY | $67K | $31 | $67K | 7.74% |
| PROFESSIONAL GROUP PLAN INC | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 117883914 | METROPOLITAN LIFE INSURANCE COMPANY | $20K | — | $20K | 2.29% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENESSEE, INC | 26 CENTURY BLVD NASHVILLE, TN 372143685 | METROPOLITAN LIFE INSURANCE COMPANY | — | $8K | $8K | 0.98% |
| ASSUREDPARTNERS5 Filed as: ASSUREDPARTNERS OF TEXAS LLC DBA GS | 4114 LEGATO RD STE 400 FAIRFAX, VA 220334002 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $16 | $7K | 0.76% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OT MARYLAND, INC | PO BOX 13784 NEWARK, NJ 071880001 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $2K | $6K | 0.67% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO | $13K | — | $13K | 8.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO | — | $2K | $2K | 1.51% |
| AP BENEFIT ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE SUITE 4500 HUNT VALLEY, MD 21030 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO | $1K | — | $1K | 0.70% |
| CRAWFORD ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE SUITE 4500 HUNT VALLEY, MD 21031 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO | — | $61 | $61 | 0.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO | — | $31 | $31 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENESSEE, INC | 26 CENTURY BLVD NASHVILLE, TN 372143685 | METROPOLITAN LIFE INSURANCE COMPANY | — | $183 | $183 | 0.75% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | PO BOX 13784 NEWARK, NJ 071883784 | METROPOLITAN LIFE INSURANCE COMPANY | — | $31 | $31 | 0.13% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | PO BOX 13784 NEWARK, NJ 071880001 | METROPOLITAN LIFE INSURANCE COMPANY | $837 | $31 | $868 | 8.69% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENESSEE, INC | 26 CENTURY BLVD NASHVILLE, TN 372143685 | METROPOLITAN LIFE INSURANCE COMPANY | — | $105 | $105 | 1.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 CLAIMS ADMINISTRATION | Recordkeeping fees; Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Float revenue; Named fiduciary Service code 12 | 111 S CALVERT ST SUITE 1600 BALTIMORE, MD 21202 | $6.3M |
| ASSUREDPARTNERS GSA NATIONAL EIN 36-4829385 ADMIN SUPPORT SERVICES | Direct payment from the plan; Plan Administrator; Other services; Recordkeeping fees; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 14 | 4114 LEGATO ROAD SUITE 400 FAIRFAX, VA 22033 | $4.0M |
| WILLIS OF MARYLAND INC BROKER CONSULTANT | Contract Administrator Service code 13 | PO BOX 13784 NEWARK, NJ 071880001 | $1.4M |
| WILLIS TOWERS WATSON SOUTHEAST INC BROKER CONSULTANT | Contract Administrator Service code 13 | 233 S WACKER DR STE 2000 CHICAGO, IL 60606 | $550K |
| FLEXFACTS EIN 27-2036736 BENEFITS ADMINISTRATION | Contract Administrator; Direct payment from the plan; Recordkeeping fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication Service code 12 | 200 RIVER AVE LAKEWOOD, NJ 08701 | $203K |
| EXPRESS SCRIPTS, INC CLAIMS ADMINISTRATION | Non-monetary compensation; Contract Administrator; Float revenue; Claims processing; Named fiduciary; Recordkeeping fees; Direct payment from the plan; Participant communication; Other services Service code 12 | 1 EXPRESS WAY SAINT LOUIS, MO 63121 | $159K |
| CIGNA BEHAVIROL HEALTH INC EIN 41-1648670 ADMIN SUPPORT SERVICES | Contract Administrator; Direct payment from the plan; Claims processing; Participant communication Service code 12 | 11095 VIKING DR STE 350 EDEN PRAIRIE, MN 553447234 | $126K |
| FRYE & COMPANY CPAS EIN 45-4199441 AUDITOR & TAX PREPARER | Direct payment from the plan; Accounting (including auditing) Service code 10 | 9161 LIBERIA AVE SUITE 304 MANASSAS, VA 20110 | $43K |
| BRAREN-WALSH & ASSOCIATES, INC LEGAL SERVICES | Direct payment from the plan Service code 50 | 5313 HAMPTON GABLE COURT WEST JACKSONVILLE, FL 32257 | $12K |
| ASSUREDPARTNERS GSA NATIONAL 36-482 | Plan Administrator Service code 14 | — | $0 |
| CIGNA HEALTH & LIFE INSURANCE CO 59 | Named fiduciary; Participant communication; Float revenue; Claims processing; Other services; Direct payment from the plan; Contract Administrator; Non-monetary compensation Service code 12 | — | $0 |
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 | 15,542 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 15,557 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 4,705 | $416K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 12,784 | $860K |
| Short-term disability(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 5,498 | $2.9M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 5,498 | $2.4M |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH & LIFE INSURANCE COMPANY | 21,547 | $2.2M |
| Other(3 contracts, 3 carriers) | MATRIX ABSENCE MANAGEMENT, INC | 932 | $663K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,547 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.