| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 155 NORTH WACKER DRIVE, SUITE 1500 CHICAGO, IL 60606 | KAISER FOUNDATION HEALTH PLAN INC | $69K | $0 | $69K | 1.87% |
| LOCKTON COMPANIES, LLC3 | PO BOX 92643 LOS ANGELES, CA 90009 | KAISER FOUNDATION HEALTH PLAN INC | $754 | $0 | $754 | 0.02% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4445 EASTGATE MALL, SUITE 300 SAN DIEGO, CA 92121 | SHARP HEALTH PLAN | $91K | $0 | $91K | 2.93% |
| LOCKTON COMPANIES, LLC3 | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | SHARP HEALTH PLAN | $64K | $0 | $64K | 2.07% |
| MERCER HEALTH AND BENEFITS, LLC3 | 155 NORTH WACKER DRIVE, SUITE 1500 CHICAGO, IL 60606 | UNITED CONCORDIA INSURANCE COMPANY | $9K | $3K | $12K | 3.26% |
| LOCKTON COMPANIES, LLC3 | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | UNITED CONCORDIA INSURANCE COMPANY | $915 | $0 | $915 | 0.25% |
| MERCER HEALTH AND BENEFITS, LLC3 | PO BOX 850502 MINNEAPOLIS, MN 55485 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $34K | $0 | $34K | 16.19% |
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 3.46% |
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | SIMNSA | $4K | $0 | $4K | 3.47% |
| MERCER HEALTH AND BENEFITS, LLC3 | PO BOX 310502 DES MOINES, IA 50331 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $0 | $6K | 6.80% |
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $75 | $0 | $75 | 0.08% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.00% |
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | VISION SERVICE PLAN | $151 | $0 | $151 | 0.24% |
| MERCER HEALTH AND BENEFITS, LLC3 | 155 NORTH WACKER DRIVE, SUITE 1500 CHICAGO, IL 60606 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $542 | $160 | $702 | 3.25% |
| LOCKTON COMPANIES, LLC3 | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $54 | $0 | $54 | 0.25% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METLIFE LEGAL PLANS | $2K | $511 | $2K | 10.90% |
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | METLIFE LEGAL PLANS | $327 | $0 | $327 | 1.58% |
| MERCER HEALTH AND BENEFITS, LLC3 | 1166 AVENUE OF THE AMERICAS 9TH FLOOR NEW YORK, NY 10036 | METLIFE LEGAL PLANS | $0 | $1 | $1 | 0.00% |
| SIEMS INSURANCE SOLUTIONS INC3 Filed as: SIEMS INS. SOL INC. & VARIOUS AGENT | 6888 PARK RIDGE BOULEVARD SAN DIEGO, CA 92120 | AFLAC | $545 | $20 | $565 | 3.55% |
| JACQUELYN E. K. HOLDER3 Filed as: JACQUELYN E.K. HOLDER | 9625 MISSION GORGE ROAD SUITE B2 304 SANTEE, CA 92071 | AFLAC | $427 | $0 | $427 | 2.68% |
| JD HOLDER ENTERPRISES INC3 Filed as: JD HOLDER ENTERPRISES INC. | 8676 ELLSWORTH LANE SANTEE, CA 92071 | AFLAC | $252 | $0 | $252 | 1.58% |
| ROBERT C HENLEY3 Filed as: ROBERT C. HENLEY | 15422 AVENIDA RORRAS SAN DIEGO, CA 92128 | AFLAC | $197 | $0 | $197 | 1.24% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $170 | $0 | $170 | 1.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. INC. | 5405 MOREHOUSE DRIVE SAN DIEGO, CA 92121 | AFLAC | $148 | $0 | $148 | 0.93% |
| CLINTON CHARLES ZELEZ3 | 6986 WEST QUAIL AVENUE GLENDALE, AZ 85308 | AFLAC | $86 | $0 | $86 | 0.54% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MICHELLE MCGRATH | 4445 EASTGATE MALL, SUITE 300 SAN DIEGO, CA 92121 | HEALTH AND HUMAN RESOURCE CENTER | $628 | $0 | $628 | 4.59% |
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 | 570 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 582 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 586 | $6.9M |
| Dental(3 contracts, 3 carriers) | UNITED CONCORDIA INSURANCE COMPANY | 906 | $494K |
| Vision | VISION SERVICE PLAN | 300 | $64K |
| Life insurance | STANDARD INSURANCE COMPANY | 1,189 | $114K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 632 | $91K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 586 | $6.8M |
| Other(6 contracts, 6 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,189 | $463K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,189 | — |
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.