| 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 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 1.71% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $440K |
| BENESYS, INC. EIN 38-2383171 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $162K |
| MERCER HEALTH & BENEFITS, LLC. EIN 34-2015463 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $144K |
| THE PARTNERS GROUP NONE | Consulting (general); Direct payment from the plan Service code 16 | 11850 SW 67TH AVE. SUITE 100 PORTLAND, OR 97223 | $90K |
| JOSEPH L. REINHART, P.C. NONE | Legal; Direct payment from the plan Service code 29 | 7355 SW HERMOSO WAY TIGARD, OR 97223 | $88K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $70K |
| MODA HEALTH EIN 93-0438772 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $38K |
| US BANK N.A. EIN 31-0841368 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $35K |
| RV KUHNS & ASSOCIATES EIN 93-0901652 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $33K |
| MILLIMAN EIN 91-0675641 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $5K |
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 | 629 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 230 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 859 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 2 | $12K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,269 | $148K |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE CO | 670 | $194K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,269 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,269 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.