| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNIVOPS INSURANCE SERVICE3 Filed as: UNIVOPS INSURANCE SERVICES LLC | 1875 SOUTH GRANT ST SUITE 960 SAN MATEO, CA 94402 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $385K | $0 | $385K | 2.42% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | -$2K | -$2K | -0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA, INC. | CENTRE SQUARE EAST 1500 MARKET ST PHILADELPHIA, PA 19102 | EXCELLUS BLUECROSS BLUESHIELD | $150K | — | $150K | 1.18% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA INC | CENTER SQUARE EAST 1500 MARKET ST PHILADELPHIA, PA 19102 | MVP HEALTH CARE | $267K | — | $267K | 2.79% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON PENNSYLVANIA, INC. | CENTRE SQUARE EAST 1500 MARKET ST PHILADELPHIA, PA 19102 | UNIVERA HEALTHCARE | $150K | — | $150K | 1.59% |
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 | 51,327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 463 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 33 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 51,823 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC. (CALIFORNIA) | 5,897 | $69.0M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 52,650 | $15.9M |
| Prescription drug(7 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC. (CALIFORNIA) | 5,897 | $69.0M |
| Other | MAGELLAN BEHAVIORAL HEALTH | 53,906 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 53,906 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.