| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BEN. AND COMP. SYS. INC.3 Filed as: AMERICAN BEN AND COMP SYSTEMS | 101 PARK AVE 14TH FL NEW YORK, NY 10178 | STANDARD INSURANCE COMPANY | — | $133K | $133K | 1.71% |
| AMERICAN BEN. AND COMP. SYS. INC.3 Filed as: AMERICAN BEN AND COMP SYSTEMS | 101 PARK AVE 14TH FL NEW YORK, NY 10178 | STANDARD INSURANCE COMPANY | — | $66K | $66K | 1.68% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 6718 SOMERSET, NJ 088756718 | METROPOLITAN LIFE INSURANCE COMPANY | $239K | $14K | $254K | 17.25% |
| PLANSOURCE BENEFITS ADMINISTRATION5 | 122 W PINE ST STE 203 ORLANDO, FL 328012612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $14K | $14K | 0.98% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $11K | $11K | 0.73% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 0.09% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | 122 W PINE ST STE 203 ORLANDO, FL 328012612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $288 | $288 | 0.02% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 6718 SOMERSET, NJ 088756718 | METROPOLITAN LIFE INSURANCE COMPANY | $248K | $11K | $259K | 22.50% |
| PLANSOURCE BENEFITS ADMINISTRATION5 | 122 W PINE ST STE 203 ORLANDO, FL 328012612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $57K | $57K | 4.91% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $8K | $8K | 0.73% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $950 | $950 | 0.08% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | 122 W PINE ST STE 203 ORLANDO, FL 328012612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $210 | $210 | 0.02% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 1116 HAMMONTON, NJ 08037 | ARAG INSURANCE COMPANY | $20K | — | $20K | 3.00% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 6718 SOMERSET, NJ 088756718 | METROPOLITAN LIFE INSURANCE COMPANY | $126K | $6K | $132K | 20.04% |
| PLANSOURCE BENEFITS ADMINISTRATION5 | 122 W PINE ST STE 203 ORLANDO, FL 328012612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $32K | $32K | 4.91% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 0.73% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $560 | $560 | 0.08% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | 122 W PINE ST STE 203 ORLANDO, FL 328012612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $123 | $123 | 0.02% |
| AON CONSULTING INC3 | 165 BROADWAY STE 3201 NEW YORK, NY 10006 | ACE AMERICAN INSURANCE COMPANY | $25K | — | $25K | 20.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 606731298 | DELAWARE AMERICAN LIFE INSURANCE OF AMERICA | $5K | — | $5K | 9.33% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 1116 HAMMONTON, NJ 08037 | ARAG INSURANCE COMPANY | $1K | — | $1K | 3.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $103 | $103 | 2.79% |
| AON CONSULTING INC3 Filed as: AON CONSULTING AND INSURANCE SVCS | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $62 | $62 | 1.68% |
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 | 8,254 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 150 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 8,404 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 6,997 | $30.0M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 81 | $1.7M |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 81 | $109K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 8,229 | $7.8M |
| Long-term disability | STANDARD INSURANCE COMPANY | 8,236 | $3.9M |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,496 | $23.7M |
| Other(10 contracts, 6 carriers) | STANDARD INSURANCE COMPANY | 8,229 | $12.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,236 | — |
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.