| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $159K | — | $159K | 1.50% |
| WILLIS TOWERS WATSON US LLC4 | LCOKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $10K | $10K | 0.15% |
| WILLIS TOWERS WATSON US LLC4 | LCOKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $81K | — | $81K | 1.61% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $85K | $17K | $102K | 4.69% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $164K | — | $164K | 9.64% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $19K | — | $19K | 1.28% |
| WILLIS TOWERS WATSON US LLC4 | LCOKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $12K | $12K | 0.83% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $17K | $1K | $18K | 1.36% |
| 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 | 1.27% |
| 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 | 1.83% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $9K | — | $9K | 1.28% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $151K | $4K | $154K | 22.76% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 1.47% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD. STE 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 1.40% |
| SAMIR H. SHETH3 | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9K | — | $9K | 1.37% |
| JAMES DAVIDSON3 | 1820 E. FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | — | $6K | 0.91% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $76K | $2K | $78K | 12.76% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 1.70% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 1.66% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD. STE. 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 1.58% |
| SAMIR H. SHETH3 | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9K | — | $9K | 1.55% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| WILLIS TOWERS WATSON US LLC4 | LCOKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $8K | — | $8K | 1.25% |
| WILLIS TOWERS WATSON US LLC4 | LCOKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $74K | — | $74K | 18.53% |
| BOEGER BRET M3 | 4551 W 107TH STREET SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 0.95% |
| ARGUE JOHN3 | 1000 WILSHIRE BLVD STE 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $209 | — | $209 | 0.05% |
| SHETH, SAMIR H3 Filed as: SHETH SAMIR H | 1000 WILSHIRE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $209 | — | $209 | 0.05% |
| WILLIS TOWERS WATSON US LLC4 | COMMISSION LOCKBOX 28852 P.O. BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $2K | $15K | 4.65% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX# 28852 PO BOX 28852 NEW YORK, NY 10087 | METLIFE LEGAL PLANS | $23K | $4K | $27K | 12.75% |
| JAMES DAVIDSON3 | 1820 E FIRST STREET SUITE 400 SANTA ANA, CA 92705 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $461 | — | $461 | 1.93% |
| JOHN M ARGUE3 Filed as: JOHN ARGUE | 1000 WILSHIRE BLVD STE. 1830 MANHATTAN BEACH, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $138 | — | $138 | 0.58% |
| SAMIR H. SHETH3 | 1000 WILSHRIE BOULEVARD SUITE 1830 LOS ANGELES, CA 90017 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $138 | — | $138 | 0.58% |
| BRET M BOEGER3 Filed as: BRET M. BOEGER | 4551 W. 107TH ST. SUITE 310 OVERLAND PARK, KS 66207 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $134 | — | $134 | 0.56% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $51 | — | $51 | 0.21% |
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 | 24,396 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 176 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5,561 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 30,133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 3,558 | $23.2M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 5,828 | $804K |
| Vision | VISION SERVICE PLAN | 14,534 | $1.7M |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 26,713 | $2.2M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 7,645 | $1.4M |
| Prescription drug(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,238 | $22.8M |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 17,428 | $4.4M |
| Other(6 contracts, 5 carriers) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 17,839 | $9.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,713 | — |
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.