| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 100878852 | HARTFORD LIFE AND ACCIDENT | $35K | $30K | $65K | 3.14% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $45K | $0 | $45K | 7.33% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | $115K | $7K | $122K | 35.45% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | $94K | $5K | $99K | 36.29% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $13K | $0 | $13K | 7.32% |
| WILLIS TOWERS WATSON US LLC3 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | METLIFE LEGAL PLANS | $8K | $2K | $9K | 13.07% |
| WILLIS TOWERS WATSON US LLC3 | 75 ARLINGTON STREET FLOOR 10 BOSTON, MA 02116 | HARTFORD LIFE AND ACCIDENT | $992 | $452 | $1K | 4.37% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $456 | $0 | $456 | 7.65% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 100878852 | EYEMED VISION CARE | $108 | $0 | $108 | 7.30% |
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 | 7,363 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 30 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 304 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,697 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,624 | $4.7M |
| Dental | DELTA DENTAL OF COLORADO | 8,391 | $3.7M |
| Vision(4 contracts) | EYEMED VISION CARE | 3,727 | $791K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 7,671 | $2.1M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 7,671 | $2.1M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 7,671 | $2.1M |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 606 | $4.1M |
| Other(5 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 14,933 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,933 | — |
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."
No prospect flags tripped on this filing.