| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 NEW YORK, NY 10087 | HARTFORD LIFE AND ACCIDENT | $102 | — | $102 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 3.31% |
| FLEXVISION - MD3 | 15400 CALHOUN DR. ROCKVILLE, MD 20855 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 2.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $401 | — | $401 | 0.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $927K |
| SELECTHEALTH EIN 87-0409820 AFFILIATE OF SPONSOR | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $283K |
| SILCHESTER INTERNATIONAL INVESTORS EIN 45-3056700 NONE | Float revenue; Investment management fees paid directly by plan; Investment management Service code 28 | — | $117K |
| BNY MELLON EIN 13-5160382 NONE | Trustee (bank, trust company, or similar financial institution); Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other investment fees and expenses; Direct payment from the plan; Shareholder servicing fees Service code 15 | — | $57K |
| MERCER INVESTMENTS LLC EIN 30-0282430 NONE | Investment advisory (plan); Consulting fees; Direct payment from the plan Service code 27 | — | $42K |
| TYGH CAPITAL MANAGEMENT EIN 41-2139219 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $41K |
| KPMG LLP EIN 13-5565207 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| PACIFIC INVESTMENT MANAGEMENT CO. EIN 33-0629048 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $37K |
| JENNISON ASSOCIATES LLC EIN 22-2540245 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $36K |
| BENEFIT CONCEPTS NONE | Other services; Direct payment from the plan Service code 49 | 1100 PARK PLACE, 4TH FLOOR SAN MATEO, CA 94403 | $26K |
| DODGE & COX EIN 94-1441976 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $20K |
| WAGEWORKS EIN 52-2383166 NONE | Accounting (including auditing); Account maintenance fees; Other insurance fees and expenses; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication Service code 10 | — | $18K |
| PECZUH PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1633 SOUTH 4800 WEST SALT LAKE CITY, UT 84104 | $8K |
| THE DATA CENTER, LLC EIN 87-0644300 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| DIMENSIONAL FUND ADVISORS LP EIN 30-0447847 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $0 |
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 | 30,907 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,586 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 32,493 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 677 | $49K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,548 | $512K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,548 | — |
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.