| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOSEPH J HANEY3 | 42560 VAN DYKE STERLING HEIGHTS, MI 483143323 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $119K | — | $119K | 1.68% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF MI LLC | 13900 LAKESIDE CIRCLE STERLING HEIGHTS, MI 483138313 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $13K | $13K | 0.18% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 155 N WACKER DR STE 1500 CHICAGO, IL 606061710 | KAISER FOUNDATION HEALTH PLAN INC. | $86K | — | $86K | 1.76% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $76K | — | $76K | 2.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 155 N WACKER DR STE 1500 CHICAGO, IL 606061710 | KAISER FOUNDATION HEALTH PLAN INC. | $63K | — | $63K | 1.79% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 100 N TRYON ST STE 3600 CHARLOTTE, NC 28202 | UPMC HEALTH OPTIONS | $54K | — | $54K | 1.85% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS ADMINISTRA | PO BOX 850502 MINNEAPOLIS, MN 55485 | RELIASTAR LIFE INSURANCE COMPANY | $604K | $65K | $669K | 30.99% |
| CONDUENT HR CONSULTING LLC3 Filed as: CONDUENT SECURITIES LLC | 100 CAMPUS DR, STE 200 FLORHAM PARK, NJ 07932 | RELIASTAR LIFE INSURANCE COMPANY | — | $86K | $86K | 4.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4564 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $35K | — | $35K | 2.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $32K | — | $32K | 2.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $28K | — | $28K | 2.00% |
| SALUS GROUP3 | 38233 MOUND ROAD, BUILDING F STERLING HEIGHTS, MI 48310 | AETNA | $57K | — | $57K | 4.16% |
| SALUS GROUP3 | 38233 MOUND ROAD, BUILDING F STERLING HEIGHTS, MI 48310 | KAISER PERMANENTE MID ATLANTIC | $4K | — | $4K | 0.29% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | GEISINGER QUALITY OPTIONS, INC. | $23K | — | $23K | 2.00% |
| SALUS GROUP3 | 38233 MOUND ROAD, BUILDING F STERLING HEIGHTS, MI 48310 | BLUE CARE NETWORK | $48K | — | $48K | 5.16% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF MI LLC | 13900 LAKESIDE CIRCLE STERLING HEIGHTS, MI 48313 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $42K | — | $42K | 4.70% |
| CRAWFORD ADVISORS, LLC3 Filed as: CRAWFORD ADVISORS LLC | 10 NORTH PARK DR STE 200 HUNT VALLEY, MD 21030 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $34K | — | $34K | 3.79% |
| IMG5 | 2960 N MERIDIAN ST INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $122 | $122 | 0.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 100 N TRYON ST STE 3600 CHARLOTTE, NC 28202 | UPMC HEALTH OPTIONS | $17K | — | $17K | 1.85% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1717 ARCH STREET 27TH FL PHILADELPHIA, PA 19103 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $16K | — | $16K | 1.99% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 100 N TRYON ST STE 3600 CHARLOTTE, NC 28202 | UPMC HEALTH OPTIONS | $11K | — | $11K | 1.79% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4 EMBARCADERO CENTER STE 400 SAN FRANCISCO, CA 94111 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $4K | — | $4K | 2.00% |
| CGF INSURANCE LLC3 | 22 CALLE GONZALEZ GIUSTI STE 200 GUAYNABO, PR 00968 | TRIPLE S SALUD, INC. | $8K | — | $8K | 4.85% |
| MS BENEFITS3 Filed as: MS BENEFITS LLC | 100 CHALLENGER RD, STE 105 RIDGEFIELD PARK, NJ 07660 | AFLAC | $4K | — | $4K | 3.42% |
| MS BENEFITS3 Filed as: MS BENEFITS LLC | 100 CHALLENGER RD, STE 400 RIDGEFIELD PARK, NJ 07660 | AFLAC | $4K | — | $4K | 3.17% |
| ROSALINDA PAPARATTO3 | 940 MOUNTAIN AVENUE MOUNTAINSIDE, NJ 07092 | AFLAC | $70 | $121 | $191 | 0.16% |
| HENSLEY A AKIBOH3 | 120 MARGUERITE DR CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $177 | — | $177 | 0.14% |
| KYLE A SCHOALES3 | 23 BARTHEL AVE GARDNER, MA 01440 | AFLAC | $157 | — | $157 | 0.13% |
| JAMES E WARWICK3 | 288 ST DAVID DR MOUNT LAUREL, NJ 08054 | AFLAC | $139 | — | $139 | 0.11% |
| ELAINE COX3 Filed as: ELAINE MCCLELLAND | 4312 GRANADA ST ALEXANDRIA, VA 22309 | AFLAC | $56 | $49 | $105 | 0.09% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $92 | — | $92 | 0.08% |
| JOHN RAY BALLINGER3 | 2456 KERR DR L65 VIRGINIA BEACH, VA 23454 | AFLAC | $87 | — | $87 | 0.07% |
| MS BENEFITS3 Filed as: MS BENEFITS LLC | 100 CHALLENGER RD, STE 400 RIDGEFIELD PARK, NJ 07660 | AFLAC | $80 | — | $80 | 0.07% |
| JOHN T CAPOZZI3 | 242 WICKERBERRY DR MIDDLETOWN, DE 19709 | AFLAC | $72 | — | $72 | 0.06% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES F HILL | 11350 GATES MILL DRIVE KNOXVILLE, TN 37934 | AFLAC | $70 | — | $70 | 0.06% |
| CHRIS GUZEWICH3 Filed as: CHRIS DAVID PAOLONE | 119 PELHAM RD S VOORHEES, NJ 08043 | AFLAC | $68 | — | $68 | 0.06% |
| MICHAEL HENSH3 | 64 KERRY LYNN CT WILLIAMSTOWN, NJ 08094 | AFLAC | $67 | — | $67 | 0.05% |
| ROSE M SUDANO3 | 74 KNOX LN MANALAPAN, NJ 07726 | AFLAC | $62 | — | $62 | 0.05% |
| ROBERT D BURTON3 | 550 SOUTH AVE VERONA, PA 15147 | AFLAC | $61 | — | $61 | 0.05% |
| MICHAEL R. FISHER3 Filed as: MICHAEL R FISHER | 50 W LEMON AVE STE 2 MONROVIA, CA 91016 | AFLAC | $57 | — | $57 | 0.05% |
| IAN SOLLENBERGER3 | 1518 19TH ST FRNT SANTA MONICA, CA 90404 | AFLAC | $52 | — | $52 | 0.04% |
| BRIAN WHITE3 Filed as: BRIAN HENRY CIESLAK | PO BOX 721, 325 W GROVELAND AVE SOMERS POINT, NJ 08244 | AFLAC | $50 | — | $50 | 0.04% |
| MARY DRESSENDOFER3 | 12 CRABAPPLE CV HAMPTON, NJ 08827 | AFLAC | $25 | $25 | $50 | 0.04% |
| BARBARA A HAWES3 | 21 MAPLE LN UNIT D BRIELLE, NJ 08730 | AFLAC | $35 | $12 | $47 | 0.04% |
| GLENN E SMITH3 | 1136 MASTERS ROW CHESAPEAKE, VA 23320 | AFLAC | $46 | — | $46 | 0.04% |
| GSL MARKETING INC3 Filed as: GSL MARKING INC | PO BOX 831745 OCALA, FL 34483 | AFLAC | $37 | — | $37 | 0.03% |
| JILL MARIE GERSON3 | 521 SALEM HEIGHTS DR GIBSONIA, PA 15044 | AFLAC | $36 | — | $36 | 0.03% |
| MICHAEL J KELLY3 | 314 OAKMONT DR PITTSBURGH, PA 15229 | AFLAC | $35 | — | $35 | 0.03% |
| MATTHEW S MCCLAY3 | 1086 MANSFIELD AVE INDIANA, PA 15701 | AFLAC | $34 | — | $34 | 0.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LIMITED | 100 SUNNYSIDE BLVD STE A WOODBURY, NY 11797 | AFLAC | $34 | — | $34 | 0.03% |
| PABLO COHEN VELASQUEZ3 | 5036 LINCOLN AVE LOS ANGELES, CA 90042 | AFLAC | $33 | — | $33 | 0.03% |
| JKAPP CONSULTING LLC3 | 10975 W CAVE BLVD DRIPPING SPRINGS, TX 78620 | AFLAC | $30 | — | $30 | 0.02% |
| ENROLLEASE3 Filed as: JOSEPH CLARKE | 197 BYRAM KINGWOOD ROAD STOCKTON, NJ 08559 | AFLAC | $5 | $25 | $30 | 0.02% |
| MITCHELL B RUCKO3 | PO BOX 25 KINGSTON, NJ 08528 | AFLAC | $29 | — | $29 | 0.02% |
| JOHN CHRISTENSEN3 | 2372 GALESA AVE NORTH LAS VEGAS, NV 89086 | AFLAC | $28 | — | $28 | 0.02% |
| JOHN C KAUTTER3 | 14155 NEWBROOK DR STE 130 CHANTILLY, VA 20151 | AFLAC | $16 | $11 | $27 | 0.02% |
| JOSE DAVID FRAGOSO-COYOTL3 | 50 W LEMON AVE STE 2 MONROVIA, CA 91016 | AFLAC | $25 | — | $25 | 0.02% |
| BRIAN WHITE3 Filed as: BRIAN HENRY CIESLAK | 325 W GROVELAND AVE SOMERS POINT, NJ 08244 | AFLAC | $24 | — | $24 | 0.02% |
| BENEDIKT N MASON3 | 17 LITTLE BEAR HILL RD WESTFORD, MA 01886 | AFLAC | $24 | — | $24 | 0.02% |
| LAUREN MERKT3 | 1032 DUNCAN LN PITTSBURGH, PA 15236 | AFLAC | $23 | — | $23 | 0.02% |
| DIVYA JAIN3 | 14155 NEWBROOK DR STE 130 CHANTILLY, VA 20151 | AFLAC | $10 | $12 | $22 | 0.02% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $21 | — | $21 | 0.02% |
| JACKSON D RHODES3 | 2332 VOLUNTEER PKWY BRISTOL, TN 37620 | AFLAC | $21 | — | $21 | 0.02% |
| DANIEL C HARRIS3 | 413 OAK RIDGE CT MARS, PA 16046 | AFLAC | $20 | — | $20 | 0.02% |
| LEAH E MELLAY3 | 3936 N MONET CT ALLISON PARK, PA 15101 | AFLAC | $19 | — | $19 | 0.02% |
| MANDELBAUM INSURANCE SERVICES LLC3 | PO BOX 480350 LOS ANGELES, CA 90048 | AFLAC | $18 | — | $18 | 0.01% |
| DESARNO BENEFITS LLC3 | 729 RAYMERE AVE INTERLAKEN, NJ 07712 | AFLAC | $14 | $3 | $17 | 0.01% |
| BRIAN WHITE3 Filed as: BRIAN HANLEY | 506 CANTERBURY DR LAGRANGE, GA 30241 | AFLAC | $16 | — | $16 | 0.01% |
| MATTHEW D BUTLER3 | 1298 BUCKHORN WAY LOUDON, TN 37774 | AFLAC | $15 | — | $15 | 0.01% |
| KAYNE R LANAHAN3 | 12820 W PARMER LN APT 3014 CEDAR PARK, TX 78613 | AFLAC | $15 | — | $15 | 0.01% |
| SEAN P SMITH3 | 20 FIR DR TRAIDELHIA, WV 26059 | AFLAC | $14 | — | $14 | 0.01% |
| BRANDY T SHARROCK3 | 77 BARNEGAT RD HEWITT, NJ 07421 | AFLAC | $14 | — | $14 | 0.01% |
| PHILLIP GREER3 | 2881 BALD EAGLE RD VIRGINIA BEACH, VA 23453 | AFLAC | $13 | — | $13 | 0.01% |
| MICHAEL H FLEMING3 | 7546 STATE ROUTE 30 THIRD FLOOR IRWIN, PA 15642 | AFLAC | $12 | — | $12 | 0.01% |
| JOSHUA PAUL GROUP INC3 Filed as: JOSHUA P SANDERS | 17 OAK LN RANDOLPH, NJ 07869 | AFLAC | $11 | — | $11 | 0.01% |
| MICHAEL A. BITTEL3 Filed as: MICHAEL ANTHONY BITTEL | 129 MARIION DR CANONSBURG, PA 15317 | AFLAC | $10 | — | $10 | 0.01% |
| HALEY E SCHMITT3 | 8150 PERRY HWY STE 200 PITTSBURGH, PA 15237 | AFLAC | $8 | — | $8 | 0.01% |
| HEATHER BARTLEY3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $8 | — | $8 | 0.01% |
| DANIEL SOTO3 | 204 NATALIE DR PHILLIPSBURG, NJ 08865 | AFLAC | $7 | — | $7 | 0.01% |
| JANET LOGAN3 | 73 MAIN ST FLANDERS, NJ 07836 | AFLAC | $7 | — | $7 | 0.01% |
| JESSICA A BOUTILETTE3 | 16 BROAD ST STE 5 WASHINGTON, NJ 07882 | AFLAC | $7 | — | $7 | 0.01% |
| KATHERINE ANNE PETSCHAUER3 | 9 WEST CHURCH ST APT 22 WASHINGTON, NJ 07882 | AFLAC | $6 | — | $6 | 0.00% |
| CHRIS H ROBINSON3 | 2 MAYFIELD RD MECHANICSBURG, PA 17055 | AFLAC | $6 | — | $6 | 0.00% |
| GEORGE A BITTEL3 | 129 MARION DRIVE MCMURRAY, PA 15317 | AFLAC | $6 | — | $6 | 0.00% |
| LEVY Y ISAACSON3 | 75 WHITE RD LAKEWOOD, NJ 08701 | AFLAC | $6 | — | $6 | 0.00% |
| MICHAEL S CLISE3 | 361 LITTLE CREEK RD HARMONY, PA 16037 | AFLAC | $6 | — | $6 | 0.00% |
| OLIVIA DUVALL3 | 3807 GRANBY ST APT A2 NORFOLK, VA 23504 | AFLAC | $5 | — | $5 | 0.00% |
| JOHN A HAWLEY3 | 376 ROSALIND LN OLDSMAR, FL 34677 | AFLAC | $4 | — | $4 | 0.00% |
| JOSHUA T HILL3 | 24921 NE 136TH LN FORT MCCOY FL, FL 32134 | AFLAC | $4 | — | $4 | 0.00% |
| JASON PHILLIPS3 | 1222 BARTON AVE POINT PLEASANT BEACH, NJ 08742 | AFLAC | $4 | — | $4 | 0.00% |
| AUDREY LYNN ENGLE3 | 4107 WILLOW ST APT 629 PITTSBURGH, PA 15201 | AFLAC | $4 | — | $4 | 0.00% |
| AMANDA L MOORE RHODES3 | 327 CHARLTON CT BLUFF CITY, TN 37618 | AFLAC | $3 | — | $3 | 0.00% |
| JAMES E BACON3 | 25 MOUNTAIN HOME RD LONDONDERRY, NH 03053 | AFLAC | $3 | — | $3 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LIMITED | 100 SUNNYSIDE BLVD STE A WOODBURY, NY 11797 | AFLAC | $3 | — | $3 | 0.00% |
| GINA M PURAZZO3 | 1 BETHANY RD STE 98 HAZLET, NJ 07730 | AFLAC | $3 | — | $3 | 0.00% |
| CHARITY TOUTON3 | 2199 MEALER RD LENOIR CITY, TN 37771 | AFLAC | $3 | — | $3 | 0.00% |
| JOSHUA JAY GARDEN3 | 2904 W JARLATH ST CHICAGO, IL 60645 | AFLAC | $3 | — | $3 | 0.00% |
| DEBORAH SUE WHITE3 | 5917 MADISON DR THE COLONY, TX 75056 | AFLAC | $2 | — | $2 | 0.00% |
| IRMA D PEREZ3 | 17765 62ND RD N LOXAHATCHEE, FL 33470 | AFLAC | $2 | — | $2 | 0.00% |
| JEFFREY CORREAL3 | 442 DUCK HOLLOW RD UNIONTOWN, PA 15401 | AFLAC | $2 | — | $2 | 0.00% |
| AUDREY LYNN ENGLE3 | 2000 STRAND RD UNIT 2331 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $2 | — | $2 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LIMITED | 1512 STATE RT 138 WALL, NJ 07719 | AFLAC | $1 | — | $1 | 0.00% |
| KATHY DIANE JAMES CARLSON3 | 525 RIDGEWOOD STREET LAKE DALLAS, TX 75065 | AFLAC | $1 | — | $1 | 0.00% |
| LEVY Y ISAACSON3 | 1790 SWARTHMORE AVE LAKEWOOD, NJ 08701 | AFLAC | $1 | — | $1 | 0.00% |
| JOSHUA JAY GARDEN3 | 2850 W TOUHY AVE UNIT B CHICAGO, IL 60645 | AFLAC | $1 | — | $1 | 0.00% |
| MARIANNE E SULLIVAN3 | 305 WATERFORD CT CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIAM D HARRISON3 | 20A LEIGH ST CLINTON, NJ 08809 | AFLAC | $1 | — | $1 | 0.00% |
| ANDREA DOROTHY ALAMA-SMITH3 | 1902 REGINA CT SANTA MARIA, CA 93458 | AFLAC | $1 | — | $1 | 0.00% |
| JOSHUA JAY GARDEN3 | 2850 W TOUHY AVE UNIT B CHICAGO, IL 60645 | AFLAC | $1 | — | $1 | 0.00% |
| JUSTIN M SANCHEZ3 | 14 BOONTON AVE BOONTON, NJ 07005 | AFLAC | $1 | — | $1 | 0.00% |
| MARIALENA SELVAGGIO3 | 1685 SW 4TH AVE BOCA RATON, FL 33432 | AFLAC | $1 | — | $1 | 0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS ADMN LLC | PO BOX 850502 MINNEAPOLIS, MN 55485 | GENWORTH LIFE INSURANCE COMPANY | $11K | — | $11K | 14.75% |
| SALUS GROUP3 | 38233 MOUND ROAD, BUILDING F STERLING HEIGHTS, MI 48310 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $765 | — | $765 | 7.00% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS LLC | 100 N TRYON ST SUITE 3600 CHARLOTTE, NC 28202 | UPMC HEALTH OPTIONS | $41 | — | $41 | 1.98% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 100 N TRYON ST SUITE 3600 CHARLOTTE, NC 28202 | UPMC HEALTH OPTIONS | $33 | — | $33 | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $4.6M |
| CONDUENT NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees Service code 15 | 100 CAMPUS DR STE 200 FLORHAM PARK, NJ 07932 | $3.1M |
| EVERNORTH BEHAVIORAL HEALTH, INC. EIN 41-1648670 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing; Participant communication Service code 12 | — | $702K |
| GMR EIN 46-1621810 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $419K |
| MAESTRO HEALTH EIN 38-2779844 NONE | Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $358K |
| MORGAN LEWIS & BOCKIUS EIN 23-0891050 NONE | Legal Service code 29 | — | $334K |
| MULTIPLAN INC EIN 13-3068979 NONE | Contract Administrator Service code 13 | — | $307K |
| SMITH EDWARDS DUNLOP EIN 23-0539350 NONE | Participant communication; Copying and duplicating Service code 36 | — | $232K |
| WEBTPA EMPLOYER SERVICES INC EIN 75-2611444 NONE | Contract Administrator Service code 13 | — | $219K |
| BAYLOR QUALITY HEALTH CARE ALLIANCE EIN 45-4015863 NONE | Contract Administrator Service code 13 | — | $181K |
| BSWQA CHN INTEGRATED NETWORK LLC EIN 85-3745651 NONE | Contract Administrator Service code 13 | — | $167K |
| SCOTT & WHITE HEALTH PLAN EIN 74-2052197 NONE | Contract Administrator Service code 13 | — | $78K |
| HEALTHIEST YOU EIN 30-0947669 NONE | Contract Administrator Service code 13 | — | $46K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Other services Service code 49 | — | $37K |
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 | 25,026 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 138 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 25,164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(24 contracts, 19 carriers) | INDEPENDENCE ADMINISTRATORS | 9,525 | $131.8M |
| Dental(4 contracts, 4 carriers) | DELTA DENTAL OF PENNSYLVANIA | 39,833 | $14.6M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 22,579 | $2.8M |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 632 | $1.0M |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 632 | $1.0M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 632 | $901K |
| Prescription drug(7 contracts, 7 carriers) | INDEPENDENCE BLUE CROSS | 507 | $8.7M |
| Other(5 contracts, 5 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 22,636 | $3.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 39,833 | — |
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.