| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | P.O. BOX 203383 DALLAS, TX 753203381 | STANDARD INSURANCE COMPANY | $156K | — | $156K | 1.02% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100174633 | RELIASTAR LIFE INSURANCE COMPANY | $233K | — | $233K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $12.7M |
| ING EIN 71-0294708 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $4.6M |
| MEDCO HEALTH SOLUTIONS EIN 22-3461740 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $1.1M |
| TOWERS WATSON DELAWARE INC. EIN 53-0181291 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $708K |
| BEST DOCTORS INC. NONE | Direct payment from the plan; Other services Service code 49 | 100 FEDERAL STREET 21ST FLOOR BOSTON, MA 02110 | $280K |
| MDLIVE, INC. EIN 45-4937055 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $129K |
| CORE LLC EIN 72-1392118 NONE | Direct payment from the plan; Other services Service code 49 | — | $112K |
| HILL BAROLET AND ASSOCIATES LLC EIN 20-1068679 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $82K |
| WRIGHTS PRINTING LLP NONE | Participant communication; Direct payment from the plan Service code 38 | 2407 TIMBERLOCK PLACE SUITE A THE WOODLANDS, TX 773801039 | $69K |
| ERNST AND YOUNG LLP EIN 34-6565596 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $44K |
| OPTUM HEALTH NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 6300 OLSON MEMORIAL HIGHWAY GOLDEN VALLEY, MN 55427 | $31K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Investment management fees paid indirectly by plan; Investment management; Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $15K |
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 | 19,467 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 196 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 19,663 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Short-term disability | STANDARD INSURANCE COMPANY | 12,206 | $15.2M |
| Long-term disability | STANDARD INSURANCE COMPANY | 12,206 | $15.2M |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 15,085 | $4.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,085 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.