| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $16K | $20K | 2.53% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | — | $134 | $134 | 0.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $13K | $16K | 2.58% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 21300 VICTORY BOULEVARD STE 635 WOODLAND HILLS, CA 913672525 | METROPOLITAN LIFE INSURANCE COMPANY | $583 | — | $583 | 0.09% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | — | $134 | $134 | 0.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $8K | $10K | 2.50% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | — | $134 | $134 | 0.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N. CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $4K | $6K | 2.55% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADV LLC | 321 N. CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | — | $134 | $134 | 0.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SECOVA EIN 33-0954754 NONE | Contract Administrator Service code 13 | — | $934K |
| UNITED HEALTHCARE NONE | Claims processing Service code 12 | 9700 HEALTH CARE LANE MINNETONKA, MN 55343 | $266K |
| UNITED MEDICAL RESOURCES EIN 39-1995276 NONE | Claims processing Service code 12 | — | $77K |
| TRUVEN HEALTH ANALYTICS EIN 06-1467923 NONE | Other fees Service code 99 | — | $55K |
| MAYER HOFFMAN MCCANN PC EIN 43-1947695 NONE | Accounting (including auditing) Service code 10 | — | $15K |
| CAREMARK NONE | Claims processing Service code 12 | 800 NW CHIPMAN RD, #5830 LEES SUMMIT, MO 64063 | $11K |
| DIRECT DATA CORPORATION NONE | Copying and duplicating; Participant communication Service code 36 | 5475 FULTON INDUSTRIAL BLVD SW ATLANTA, GA 30336 | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,751 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,751 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 2,660 | $2.1M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,634 | $415K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,660 | — |
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.