| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC. | $78K | — | $78K | 0.60% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $11K | — | $11K | 0.52% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | AETNA LIFE INSURANCE CO. | $49K | $17K | $66K | 3.67% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN INC. | $6K | — | $6K | 0.55% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 LOCKBOX28852 NEW YORK, NY 100878852 | HARTFORD LIFE AND ACCIDENT | $41K | — | $41K | 3.89% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $18K | — | $18K | 3.00% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 1.50% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 10087 | UNITEDHEALTHCARE INSURANCE COMPANY | $12K | — | $12K | 16.30% |
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 | 4,786 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 59 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,845 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 2,716 | $14.2M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,010 | $156K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 3,152 | $672K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 6,498 | $2.8M |
| Short-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 6,498 | $2.8M |
| Long-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 6,498 | $2.8M |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 2,716 | $14.2M |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 4,947 | $2.1M |
| Other(4 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 6,498 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,498 | — |
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.