| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK METTILLE3 Filed as: MARK J MATSOCK & ASSOCIATES | 2400 E ARIZONA BILTMORE CIR STE 1100 PHOENIX, AZ 85016 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $137K | — | $137K | 3.16% |
| MARK METTILLE3 Filed as: MARK J MATSOCK ASSOCIATES INC | 2400 E ARIZONA BILTMORE CIR STE 1100 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $40K | — | $40K | 5.91% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $40 | -$1K | -$968 | -0.14% |
| MARK METTILLE3 Filed as: MARK J MATSOCK ASSOCIATES INC | 2400 E ARIZONA BILTMORE CIR STE 1100 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 20.99% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $313 | $40 | $353 | 0.77% |
| MARK METTILLE3 Filed as: MARK J MATSOCK ASSOCIATES INC | 2400 E ARIZONA BILTMORE CIR STE 1100 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 21.08% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $577 | $28 | $605 | 1.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WAGEWORKS,INC. CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | 4609 REGENT BLVD. IRVING, TX 75063 | $8K |
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 | 364 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 384 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 692 | $4.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 761 | $671K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 761 | $671K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 761 | $671K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 761 | $671K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 761 | $671K |
| Other(4 contracts, 2 carriers) | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 761 | $5.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 761 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.