| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 2325 E CAMELBACK RD STE 600 PHOENIX, AZ 85016 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $574 | — | $574 | 0.19% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 2325 E CAMELBACK RD STE 600 PHOENIX, AZ 85016 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $509 | — | $509 | 0.24% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS ADMIN LLC | PO BOX 850502 MINNEAPOLIS, MN 55485 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $702 | $11K | 8.96% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINATTI, OH 45263 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $207 | — | $207 | 0.17% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS | 897 12TH ST HAMMONTON, NJ 08037 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $85 | — | $85 | 0.07% |
| BENEFIT INTELLIGENCE INC3 Filed as: BENEFIT INTELLIGENCE | 4862 E BASELINE RD STE 101 MESA, AZ 85206 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22 | — | $22 | 0.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 2325 E CAMELBACK RD STE 600 PHOENIX, AZ 85016 | JORGENSEN HEALTHCARE ASSOCIATES INC. DBA JORGENSEN BROOKS GROUP | $4K | — | $4K | 10.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 2325 E CAMELBACK RD STE 600 PHOENIX, AZ 85016 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $63 | — | $63 | 0.18% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 2325 E CAMELBACK RD STE 600 PHOENIX, AZ 85016 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $501 | — | $501 | — |
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 | 730 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 732 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 778 | $96K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,015 | $209K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 552 | $0 |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 982 | $295K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,037 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,037 | — |
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.