| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 35371 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $39 | $3K | 4.75% |
| BOON ADMINISTRATIVE SERVICES5 Filed as: BOON ADMINISTRATIVE SERVICES INC | 6300 BRIDGE POINT PKWY BLDG 3 STE 200 AUSTIN, TX 78730 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 3.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OHIO INC | 775 YARD ST STE 200 COLUMBUS, OH 43212 | METROPOLITAN LIFE INSURANCE COMPANY | — | $426 | $426 | 0.61% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 400 NORTH EXECUTIVE DRIVE SUITE 30 BROOKFIELD, WI 53005 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $65K | — | $65K | 388.77% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 35371 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $39 | $1K | 8.11% |
| BOON ADMINISTRATIVE SERVICES5 Filed as: BOON ADMINISTRATIVE SERVICES INC | 6300 BRIDGE POINT PKWY BLDG 3 STE 200 AUSTIN, TX 78730 | METROPOLITAN LIFE INSURANCE COMPANY | — | $307 | $307 | 1.97% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OHIO INC | 775 YARD ST STE 200 COLUMBUS, OH 43212 | METROPOLITAN LIFE INSURANCE COMPANY | — | $28 | $28 | 0.18% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 35371 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $39 | $1K | 7.57% |
| BOON ADMINISTRATIVE SERVICES5 Filed as: BOON ADMINISTRATIVE SERVICES INC | 6300 BRIDGE POINT PKWY BLDG 3 STE 200 AUSTIN, TX 78730 | METROPOLITAN LIFE INSURANCE COMPANY | — | $283 | $283 | 1.83% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OHIO INC | 775 YARD ST STE 200 COLUMBUS, OH 43212 | METROPOLITAN LIFE INSURANCE COMPANY | — | $49 | $49 | 0.32% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 35371 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $836 | $39 | $875 | 11.42% |
| BOON ADMINISTRATIVE SERVICES5 Filed as: BOON ADMINISTRATIVE SERVICES INC | 6300 BRIDGE POINT PKWY BLDG 3 STE 200 AUSTIN, TX 78730 | METROPOLITAN LIFE INSURANCE COMPANY | — | $227 | $227 | 2.96% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OHIO INC | 775 YARD ST STE 200 COLUMBUS, OH 43212 | METROPOLITAN LIFE INSURANCE COMPANY | — | $52 | $52 | 0.68% |
| BURNHAM BENEFITS INSURANCE SERVICES3 Filed as: BURNHAM BENEFITS INS SERVICES | 2211 MICHELSON DR STE 1200 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $57 | $57 | 50.89% |
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 | 466 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 23 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 490 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 438 | $2.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 164 | $70K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 164 | $70K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 409 | $87K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 164 | $70K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 164 | $70K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 438 | $2.1M |
| Other(6 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 409 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 438 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.