| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AETNA LIFE INSURANCE COMPANY | — | $144K | $144K | 2.09% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3850 NORTH CAUSEWAY BOULEVARD SUITE 1050 METARIE, LA 70002 | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | — | $6K | $6K | 0.39% |
| ASSUREDPARTNERS3 Filed as: DWIGHT W. ANDRUS INSURANCE, INC. | PO BOX 60970 LAFAYETTE, LA 70596 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $26K | $4K | $31K | 20.60% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3850 NORTH CAUSEWAY BOULEVARD SUITE 1050 METAIRIE, LA 70002 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 1.77% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE AGENCY | 500 DOVER BOULEVARD LAFAYETTE, LA 70503 | STARMOUNT LIFE INSURANCE COMPANY | $9K | — | $9K | 9.49% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE, LLC | 3850 NORTH CAUSEWAY BOULEVARD SUITE 1050 METAIRIE, LA 70002 | STARMOUNT LIFE INSURANCE COMPANY | $1K | — | $1K | 1.46% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BCBS OF ALASKA EIN 48-1298079 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $542K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 CONTRACT ADMIISTRATOR | Contract Administrator Service code 13 | — | $192K |
| ESI EIN 22-3461740 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $101K |
| VISION SERVICE PLAN EIN 23-7089668 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $98K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $12K |
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 | 7,814 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 77 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,891 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 265 | $2.0M |
| Dental(3 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 113 | $212K |
| Vision(3 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 113 | $212K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 7,814 | $7.0M |
| Short-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 7,814 | $7.0M |
| Long-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 7,814 | $7.0M |
| Prescription drug(4 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 265 | $2.0M |
| Other(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 7,814 | $7.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,814 | — |
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."
No prospect flags tripped on this filing.