| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $80K | $231 | $80K | 3.07% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITEDHEALTHCARE INSURANCE COMPANY | $66K | $0 | $66K | 8.47% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $2K | $12K | 7.48% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP MID-ATLANTIC SG LLC | 4740 CORRIDOR PLACE, SUITE B BELTSVILLE, MD 20705 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $1K | $7K | 4.11% |
| MERCER HEALTH AND BENEFITS, LLC3 | 1255 23RD STREET NW WASHINGTON, DC 20037 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 6.42% |
| ANDREA DOROTHY ALAMA-SMITH3 Filed as: ANDREA DOROTHY SMITH | 10 TRAIL RIDGE CIRCLE POMONA, CA 91766 | AFLAC | $811 | $68 | $879 | 4.42% |
| MJ INSURANCE3 Filed as: ROBERT A. MOORE AND VARIOUS AGENTS | 5120 WEST GOLDLEAF CIRCLE SUITE 160 LOS ANGELES, CA 90056 | AFLAC | $520 | $0 | $520 | 2.61% |
| RICKY SHIH3 | 314 SOUTH 3RD AVENUE ARCADIA, CA 91006 | AFLAC | $178 | $44 | $222 | 1.12% |
| CARLOS F ENRIQUEZ3 Filed as: CARLOS F. ENRIQUEZ | 5120 WEST GOLDLEAF CIRCLE SUITE 160 LOS ANGELES, CA 90056 | AFLAC | $183 | $0 | $183 | 0.92% |
| JESSICA PEREZ3 | 6167 BRISTOL PARKWAY, SUITE 106 CULVER CITY, CA 90230 | AFLAC | $178 | $0 | $178 | 0.89% |
| MICHAEL R. FISHER3 | 50 WEST LEMON AVENUE, SUITE 2 MONROVIA, CA 91016 | AFLAC | $94 | $19 | $113 | 0.57% |
| ANTHONY M. MENDOZA3 | 50 WEST LEMON AVENUE, SUITE B MONROVIA, CA 91016 | AFLAC | $92 | $0 | $92 | 0.46% |
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 | 443 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 448 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 329 | $3.4M |
| Dental(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 329 | $3.4M |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 329 | $3.4M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $941K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 155 | $186K |
| Long-term disability(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $941K |
| Other(4 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 329 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 329 | — |
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.