| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 450 LEXINGTON AVE 4TH FLOOR NEW YORK, NY 10170 | KAISER FOUNDATION HEALTH PLAN INC | $17K | — | $17K | 0.55% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT HR CONSULTING, LLC | PO BOX 207640 DALLAS, TX 75320 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 0.05% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 10087 | HARTFORD LIFE AND ACCIDENT | — | $15K | $15K | 1.14% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $10K | $10K | 0.81% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 100 CAMPUS DR STE 200 FLORHAM PARK, NJ 079321029 | VISION SERVICE PLAN | $46K | — | $46K | 5.40% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 S 80TH ST STE 700 MINNEAPOLIS, MN 55402 | VISION SERVICE PLAN | $17K | — | $17K | 2.03% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | LEXINGTON AVE 4TH FLOOR NEW YORK, NY 10170 | KAISER FOUNDATION HEALTH PLAN INC. | $2K | — | $2K | 0.26% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 S 80TH ST STE 700 MINNEAPOLIS, MN 55402 | KAISER FOUNDATION HEALTH PLAN INC. | $828 | — | $828 | 0.11% |
| CONDUENT HR CONSULTING LLC3 | PO BOX 207640 DALLAS, TX 75320 | KAISER FOUNDATION HEALTH PLAN INC. | $169 | — | $169 | 0.02% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $10K | $10K | 1.67% |
| BUCK GLOBAL LLC3 | PO BOX 207640 DALLAS, TX 75320 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $154K | $9K | $164K | 36.72% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 100 CAMPUS DR SUITE 200E FLORHAM, NJ 07932 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 2.39% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES, INC | 80 S 80TH ST STE 700 MINNEAPOLIS, MN 55402 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 0.95% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 450 LEXINGTON AVE WEWORK 4TH FLOOR NEW YORK, NY 10017 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $892 | — | $892 | 0.31% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC (GA) | 4555 MANSELL ROAD SUITE 300 ALPHARETTA, GA 30022 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $673 | — | $673 | 0.24% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 1125 17TH ST SUITE 400 DENVER, CO 80202 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $2K | — | $2K | 0.70% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 450 LEXINGTON AVE WEWORK 4TH FLOOR NEW YORK, NY 10017 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $883 | — | $883 | 0.32% |
| BUCK GLOBAL LLC3 | PO BOX 207640 DALLAS, TX 75320 | ARAG INSURANCE COMPANY | $20K | — | $20K | 7.90% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES, INC | 5850 GRANITE PARKWAY STE 350 PLANO, TX 75024 | ARAG INSURANCE COMPANY | $6K | — | $6K | 2.41% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 450 LEXINGTON AVE 4TH FLOOR NEW YORK, NY 10017 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $1K | — | $1K | 0.60% |
| BUCK GLOBAL LLC3 | BOX 207640 DALLAS, TX 75320 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $33K | — | $33K | 14.39% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 5850 GRANITE PARKWAY STE 350 PLANO, TX 75024 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $472 | — | $472 | 0.21% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 450 LEXINGTON AVE 4TH FLOOR NEW YORK, NY 10017 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $1K | $2K | $3K | 1.40% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 450 LEXINGTON AVE WEWORK 4TH FLOOR NEW YORK, NY 10017 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $810 | — | $810 | 0.51% |
| LTCI PARTNERS LLC3 | 2924 MARKETPLACE DR SUITE 102 MADISON, WI 53719 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 4.20% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 2.80% |
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 | 6,974 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 87 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,077 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 687 | $5.3M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 1,258 | $568K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 7,715 | $1.1M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 23,140 | $1.3M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,781 | $1.2M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 4,069 | $600K |
| Other(6 contracts, 5 carriers) | HARTFORD LIFE AND ACCIDENT | 26,150 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,150 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.