| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $93K | $331 | $93K | 3.54% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1301 FIFTH AVENUE SUITE 1900 SEATTLE, WA 98101 | GROUP HEALTH COOPERATIVE | $44K | — | $44K | 2.19% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES | $14K | — | $14K | 3.62% |
| DAVID J MCCLELLAN3 Filed as: DAVID B. RICHTER | GILMAN VILLAGE SUITE 11 ISSAQUAH, WA 98027 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | — | $10K | 3.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 155 N WACKER DRIVE SUITE 1500 CHICAGO, IL 606061710 | KAISER FOUNDATION HEALTH PLAN INC. | $3K | — | $3K | 6.18% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER SMITH & FEEK, INC. | 2233 112TH AVENUE NE BELLEVUE, WA 980042936 | KAISER FOUNDATION HEALTH PLAN INC. | -$1K | — | -$1K | -2.21% |
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 | 615 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 622 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 466 | $5.4M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WASHINGTON | 1,039 | $910K |
| Vision | VISION SERVICE PLAN | 618 | $49K |
| Life insurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 22 | $328K |
| Long-term disability | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 22 | $328K |
| Prescription drug(4 contracts, 4 carriers) | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 466 | $5.1M |
| Other(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 615 | $345K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,039 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.