| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING | P.O. BOX 905494 CHARLOTTE, NC 282905494 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 0.76% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 75 REMITTANCE DRIVE, DEPT 1926 NORTHERN TRUST BANK CHICAGO, IL 60675 | HARTFORD LIFE AND ACCIDENT | — | $802 | $802 | 0.19% |
| QUALITY HEALTH INSURGENCE, LLC.3 Filed as: QUALITY HEALTH INSURANCE, LLC | 3876-A SIERRA DRIVE HONOLULU, HI 968163820 | UNIVERSITY HEALTH ALLIANCE | $6K | — | $6K | 3.03% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES OF PUERTO RICO | PO BOX 70361 SAN JUAN, PR 009368361 | TRIPLE S SALUD, INC. | $6K | — | $6K | 5.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 199 FREMONT STREET SAN FRANCISCO, CA 94105 | HARTFORD LIFE AND ACCIDENT | — | $108 | $108 | 0.36% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 3000 TOWN CENTER, SUITE 3000 SOUTHFIELD, MI 48075 | HARTFORD LIFE AND ACCIDENT | — | $63 | $63 | 0.21% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES OF PR, INC. | PO BOX 191229 SAN JUAN, PR 009191229 | IVISION INTERNATIONAL OF PUERTO RICO, INC. | $159 | — | $159 | 9.98% |
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 | 1,851 | 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) | 1,858 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 25 | $331K |
| Dental(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 25 | $331K |
| Vision(3 contracts, 3 carriers) | UNIVERSITY HEALTH ALLIANCE | 2,441 | $315K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,851 | $426K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,851 | $426K |
| Prescription drug(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 25 | $331K |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 2,571 | $635K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,571 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.