| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $576K | — | $576K | 3.65% |
| MARSH & MCLENNAN AGENCY LLC5 Filed as: MARSH USA, INC. | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $232K | $232K | 1.47% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $50K | $5K | $55K | 0.67% |
| LOCKTON COMPANIES, LLC3 | 4725 PIEDMONT ROW DRIVE CHARLOTTE, NC 28210 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $214K | — | $214K | 2.96% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $37K | — | $37K | 3.20% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62939 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $28K | $28K | 2.48% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AETNA LIFE INSURANCE CO. | $45K | — | $45K | 4.50% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $24K | — | $24K | 3.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62937 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $942 | $942 | 0.12% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD ACCIDENT AND LIFE INSURANCE COMPANY | $26K | — | $26K | 5.16% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $908 | — | $908 | 0.75% |
| IKON BENEFITS GROUP, INC.3 Filed as: IKON BENEFITS GROUP INC | 33 BOLIVIA STREET SUITE 6 SAN JUAN, PR 00917 | TRIPLE S SALUD, INC. | $1K | — | $1K | 1.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE CO. EIN 06-6033492 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $7.0M |
| VIRGIN PULSE EIN 20-2547480 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Consulting (general) Service code 12 | — | $1.6M |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $1.4M |
| ANTHEM BLUE CROSS LIFE AND HEALTH EIN 95-4331852 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $1.0M |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 NONE | Claims processing; Contract Administrator; Float revenue; Other services; Direct payment from the plan Service code 12 | — | $815K |
| RX SAVINGS SOLUTIONS EIN 26-3642434 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $560K |
| COMPSYCH EIN 36-3739783 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $428K |
| WECARE NONE | Contract Administrator; Direct payment from the plan Service code 13 | 11324 DAVENPORT ST STE C OMAHA, NE 68154 | $379K |
| NEW LIFE SOLUTION, INC. EIN 30-0734167 NONE | Direct payment from the plan; Consulting (general); Contract Administrator Service code 13 | — | $233K |
| HEADSPACE NONE | Direct payment from the plan; Contract Administrator Service code 13 | 2415 MICHIGAN AVENUE SANTA MONICA, CA 90404 | $225K |
| WAGEWORKS, INC. EIN 20-0198855 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $187K |
| BUDCO EIN 38-1622051 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $157K |
| EAGLE CONSULTING NONE | Consulting (general); Direct payment from the plan; Contract Administrator Service code 13 | 1750 DELTA WATERS RD MEDFORD, OR 97504 | $91K |
| MERCER HUMAN RESOURCE CONSULTING EIN 34-2015463 NONE | Consulting (general); Contract Administrator; Direct payment from the plan Service code 13 | — | $45K |
| SAN FRANCISCO CITY OPTION NONE | Other fees; Direct payment from the plan Service code 50 | P.O. BOX 194367 SAN FRANCISCO, CA 94119 | $10K |
| US BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $8K |
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 | 37,274 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 37,274 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,759 | $7.3M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3,939 | $8.2M |
| Life insurance(3 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 62,119 | $22.8M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 358 | $121K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 26,572 | $8.3M |
| Prescription drug | TRIPLE S SALUD, INC. | 10 | $65K |
| Other(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 35,404 | $9.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 62,119 | — |
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.