| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | RELIASTAR LIFE INSURANCE COMPANY | $119K | — | $119K | 1.51% |
| HEALTH EXCHANGE RESOURCES, INC.4 | 500 W SILVER SPRING DR STE 200 GLENDALE, WI 53217 | RELIASTAR LIFE INSURANCE COMPANY | — | $30K | $30K | 0.38% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $40K | $40K | 0.83% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | 16220 N SCOTTSDALE RD STE 600 SCOTTSDALE, AZ 85254 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $20K | $20K | 0.41% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | $830K | $16K | $846K | 55.43% |
| FARMERS INSURANCE EXCHANGE0 Filed as: FARMERS GROUP, INC | 6303 OWENSMOUTH AVE, 2ND FLOOR WOODLAND HILLS, CA 91367 | METROPOLITAN LIFE INSURANCE COMPANY | — | $20K | $20K | 1.31% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 10087 | ZURICH AMERICAN INSURANCE COMPANY | $74K | — | $74K | 6.00% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NC 10087 | METROPOLITAN LIFE INSURANCE COMPANY | $524K | $10K | $534K | 55.41% |
| FARMERS INSURANCE EXCHANGE0 Filed as: FARMERS GROUP, INC | 6303 OWENSMOUTH AVE, 2ND FLOOR WOODLAND HILLS, CA 91367 | METROPOLITAN LIFE INSURANCE COMPANY | — | $20K | $20K | 2.07% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | — | $2K | $2K | 1.16% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NC 10087 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | — | $883 | $883 | 1.20% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | — | $497 | $497 | 1.21% |
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 | 19,620 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 752 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 260 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,632 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 15,391 | $12.8M |
| Dental(6 contracts, 5 carriers) | AETNA LIFE INSURANCE CO | 12,468 | $10.8M |
| Vision(14 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 10,269 | $12.4M |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 46,443 | $7.9M |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 19,020 | $4.8M |
| Prescription drug(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 1,596 | $10.3M |
| Other(3 contracts, 2 carriers) | ZURICH AMERICAN INSURANCE COMPANY | 20,704 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 46,443 | — |
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.