| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING | P.O. BOX 905494 CHARLOTTE, NC 282905494 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $62K | $62K | 1.28% |
| HNI RISK SERVICES3 | 1 PIEDMONT CTR. NE, SUITE 600 ATLANTA, GA 303051501 | METROPOLITAN LIFE INSURANCE COMPANY | $60K | $80 | $60K | 4.02% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | P.O. BOX 905494 CHARLOTTE, NC 282905494 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $23K | $23K | 1.55% |
| AON CONSULTING INC3 Filed as: HEWITT INSURANCE, INC. | P.O. BOX 194926 SAN JUAN, PR 009164926 | TRIPLE S SALUD, INC. | $36K | $0 | $36K | 4.50% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 199 WATER STREET, 12TH FLOOR NEW YORK, NY 10038 | HYATT LEGAL PLANS | $5K | $275 | $5K | 5.39% |
| AON CONSULTING INC3 | PO BOX 905494 CHARLOTTE, NC 282905494 | HYATT LEGAL PLANS | $5K | $0 | $5K | 4.93% |
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 | 3,640 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 131 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,771 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 275 | $3.7M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 7,132 | $5.7M |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 72 | $880K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 7,132 | $6.4M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 7,132 | $4.9M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 7,132 | $4.9M |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 275 | $3.7M |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 7,132 | $6.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,132 | — |
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.