| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | 801 S. FIGUEROA STREET, SUITE 700 LOS ANGELES, CA 90017 | AETNA LIFE INSURANCE COMPANY | $114K | — | $114K | 4.90% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF LOS ANGELES | P.O. BOX 101162 PASADENA, CA 911891162 | BLUE CROSS AND BLUE SHIELD OF VERMONT | $55K | — | $55K | 2.57% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | P.O. BOX 101162 PASADENA, CA 91189 | CAREFIRST BLUE CHOICE | $46K | $20K | $65K | 3.21% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | P.O. BOX 101162 LOS ANGELES, CA 911890005 | KAISER FOUNDATION HEALTH PLAN INC. | $54K | — | $54K | 3.94% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | 801 S. FIGUEROA STREET, SUITE 700 LOS ANGELES, CA 90017 | AETNA INTERNATIONAL | $57K | $11K | $68K | 6.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | P.O. BOX 101162 PASADENA, CA 911890002 | KAISER FOUNDATION HEALTH PLAN INC. | $27K | — | $27K | 3.97% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | 801 S. FIGUEROA STREET, SUITE 700 LOS ANGELES, CA 90017 | BLUE CROSS AND BLUE SHIELD OF MONTANA | $14K | — | $14K | 2.25% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | P.O. BOX 101162 LOS ANGELES, CA 91189 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $94 | — | $94 | 0.03% |
| ACRISURE LLC3 Filed as: FULCRO INSURANCE | P.O. BOX 9024048 SAN JUAN, PR 009024048 | HUMANA INSURANCE OF PUERTA RICO, INC. | $14K | — | $14K | 5.65% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | LOCKBOX 100485 BANK ONE, DEPT. 100485 PASADENA, CA 91189 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $5K | — | $5K | 3.56% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | 345 CALIFORNIA STREET, 14TH FLOOR SAN FRANCISCO, CA 94111 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $1K | $17 | $1K | 4.10% |
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 | 872 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 65 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 937 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(14 contracts, 13 carriers) | AETNA LIFE INSURANCE COMPANY | 363 | $11.7M |
| Dental(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 363 | $3.7M |
| Vision(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 363 | $5.6M |
| Life insurance | HUMANA INSURANCE OF PUERTA RICO, INC. | 141 | $253K |
| Prescription drug(13 contracts, 12 carriers) | BLUE CROSS AND BLUE SHIELD OF VERMONT | 339 | $9.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 363 | — |
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.