| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING OF NEW JERSEY INC | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | $0 | $299K | $299K | 0.87% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | PO BOX 955816 SAINT LOUIS, MO 63195 | HARTFORD LIFE AND ACCIDENT | $0 | $72K | $72K | 0.21% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | $0 | $41K | $41K | 1.01% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | PO BOX 955816 SAINT LOUIS, MO 63195 | HARTFORD LIFE AND ACCIDENT | $0 | $7K | $7K | 0.17% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON US | 200 LIBERTY STREET FLOOR 16 NEW YORK, NY 10281 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $33K | $33K | 1.50% |
| AON CONSULTING INC0 Filed as: AON CONSULTING | 200 E RANDOLPH ST CHICAGO, IL 60601 | FOUR EVER LIFE INS. CO. | $0 | $544 | $544 | 15.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHY ALLLIANCE LIFE INS CO EIN 86-0257201 CLAIMS PROCESSOR | Contract Administrator; Claims processing; Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $51.4M |
| EYEMED EIN 47-3094984 CLAIMS PROCESSOR | Claims processing; Contract Administrator; Other insurance fees and expenses Service code 12 | — | $6.9M |
| CVS PHARMACY, INC EIN 05-0340626 CLAIMS PROCESSOR | Claims processing; Contract Administrator; Other insurance fees and expenses Service code 12 | — | $3.5M |
| DELTA DENTAL OF MISSOURI EIN 43-0908349 CLAIMS PROCESSOR | Contract Administrator; Claims processing; Other insurance fees and expenses Service code 12 | — | $1.9M |
| COMPSYCH CORPORATION EIN 36-3739783 CLAIMS PROCESSOR | Other insurance fees and expenses; Claims processing; Contract Administrator Service code 12 | — | $1.3M |
| MARATHON HEALTH EIN 26-0103977 CONTRACT ADMINISTRATOR | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $1.2M |
| HAWAII-WESTERN MANAGEMENT GROUP EIN 94-3193724 CONTRACT ADMINISTRATOR | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $327K |
| HAWAII DENTAL SERVICE EIN 99-0107971 CLAIMS PROCESSOR | Other insurance fees and expenses; Claims processing; Contract Administrator Service code 12 | — | $112K |
| VISION SERVICE PLAN EIN 99-0247673 CONTRACT ADMINISTRATOR | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $24K |
| ADVOCATE AURORA HEALTH EIN 39-1678306 CLAIMS PROCESSOR | Other insurance fees and expenses; Claims processing; Contract Administrator Service code 12 | — | $18K |
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 | 97,782 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 978 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 98,760 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC (SOUTHERN CA) | 2,985 | $24.1M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 195,259 | $34.3M |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 5,855 | $132K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 5,856 | $2.2M |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC (SOUTHERN CA) | 2,985 | $24.1M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 49,896 | $7.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195,259 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.