| 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 | 1.59% |
| WILLIS TOWERS WATSON US LLC4 | P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN INC | $78K | — | $78K | 1.37% |
| WILLIS TOWERS WATSON US LLC4 | P.O. BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $153K | — | $153K | 10.00% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $19K | — | $19K | 1.50% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $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 | $47K | $9K | $55K | 4.73% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $69K | $14K | $83K | 9.34% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $34K | $9K | $43K | 5.07% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $12K | — | $12K | 1.50% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $16K | — | $16K | 2.19% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $10K | — | $10K | 1.49% |
| 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% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD. STE 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $54K | — | $54K | 9.35% |
| SAMIR H. SHETH3 | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $53K | — | $53K | 9.09% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $51K | — | $51K | 8.83% |
| JAMES DAVIDSON3 | 1820 E. FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12K | — | $12K | 2.14% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $122 | — | $122 | 0.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $31K | — | $31K | 5.68% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD. STE. 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $29K | — | $29K | 5.42% |
| SAMIR H. SHETH3 | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $28K | — | $28K | 5.28% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $17K | — | $17K | 3.15% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $40 | $1 | $41 | 0.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | — | $30 | 0.01% |
| BOEGER BRET M3 | 4551 W 107TH STREET SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $57K | — | $57K | 17.53% |
| ARGUE JOHN3 | 1000 WILSHIRE BLVD STE 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 0.95% |
| SHETH, SAMIR H3 Filed as: SHETH SAMIR H | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 0.95% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | — | $6K | 2.13% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD STE. 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.49% |
| SAMIR H. SHETH3 | 1000 WILSHRIE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.49% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W. 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.47% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $631 | — | $631 | 0.24% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX# 28852 PO BOX 28852 NEW YORK, NY 10087 | METLIFE LEGAL PLANS | $20K | $2K | $22K | 10.14% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $2K | $10K | 6.60% |
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 | 22,284 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,466 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3,063 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 27,813 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,580 | $21.7M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,758 | $737K |
| Vision | VISION SERVICE PLAN | 11,903 | $1.5M |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 25,859 | $1.4M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,410 | $850K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 7,403 | $891K |
| Prescription drug(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,165 | $21.3M |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 16,158 | $3.5M |
| Other(5 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,838 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 25,859 | — |
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.