| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | P.O. BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $145K | — | $145K | 1.37% |
| WILLIS TOWERS WATSON US LLC4 | P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN INC | $77K | — | $77K | 2.19% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $78K | $4K | $83K | 4.21% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $20K | $3K | $23K | 1.73% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $51K | $5K | $56K | 4.42% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $18K | — | $18K | 1.50% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $45K | $5K | $50K | 4.45% |
| WILLIS TOWERS WATSON US LLC4 | P.O. BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $103K | — | $103K | 10.00% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $11K | — | $11K | 1.38% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $15K | — | $15K | 2.00% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $9K | — | $9K | 1.50% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $74K | — | $74K | 12.50% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852, PO BOX 28852 NEW YORK, NY 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30K | $1K | $31K | 5.32% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD. STE. 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $15K | — | $15K | 2.51% |
| SAMIR H. SHETH3 | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $15K | — | $15K | 2.51% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14K | — | $14K | 2.30% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $76 | $33 | $109 | 0.02% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY INC. | 1820 E. FIRST ST. SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $90 | — | $90 | 0.02% |
| BRIAN EDWARD JUND3 | NATIONAL BENEFIT PARTNERS 23282 MILL CREEK DRIVE SUITE 390 LAGUNA HILLS, CA 92653 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.00% |
| JAMES DAVIDSON3 | 1820 E. FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $115K | — | $115K | 20.66% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $71K | $2K | $74K | 13.17% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD. STE 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $22K | — | $22K | 3.85% |
| SAMIR H. SHETH3 | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $22K | — | $22K | 3.85% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $20K | — | $20K | 3.54% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY INC. | 1820 E. FIRST ST. SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $462 | — | $462 | 0.08% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $76 | $1 | $77 | 0.01% |
| BRIAN EDWARD JUND3 | NATIONAL BENEFIT PARTNERS 23282 MILL CREEK DRIVE SUITE 390 LAGUNA HILLS, CA 92653 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $38 | — | $38 | 0.01% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $8K | — | $8K | 1.49% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $1K | $15K | 4.46% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $41K | — | $41K | 12.86% |
| BOEGER BRET M3 | 4551 W 107TH STREET SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7K | — | $7K | 2.31% |
| ARGUE JOHN3 | 1000 WILSHIRE BLVD STE 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7K | — | $7K | 2.31% |
| SHETH, SAMIR H3 Filed as: SHETH SAMIR H | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7K | — | $7K | 2.31% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 0.76% |
| VERITYPOINT LLC3 | 1000 WILSHIRE BLVD. STE. 1830 LOS ANGELES, CA 90017 | METLIFE LEGAL PLANS | $16K | — | $16K | 9.83% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX# 28852 PO BOX 28852 NEW YORK, NY 10087 | METLIFE LEGAL PLANS | — | $345 | $345 | 0.21% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $66K | — | $66K | 61.00% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD STE. 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12K | — | $12K | 11.24% |
| SAMIR H. SHETH3 | 1000 WILSHRIE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12K | — | $12K | 11.23% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W. 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11K | — | $11K | 10.38% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $916 | — | $916 | 0.85% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $245 | — | $245 | 0.23% |
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 | 20,890 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 673 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 191 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 21,754 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,333 | $20.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,334 | $769K |
| Vision | VISION SERVICE PLAN | 10,822 | $1.0M |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 22,922 | $1.4M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,069 | $1.1M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,839 | $2.0M |
| Prescription drug(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,333 | $20.5M |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 14,065 | $3.0M |
| Other(5 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 20,553 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,922 | — |
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.