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Form 5500 · Employee benefit plan · NORWALK, CT

XEROX CORPORATION

XEROX CORPORATION of NORWALK, CT is a 10,290-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is MERCER HEALTH & BENEFITS, LLC. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 17 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-0468020 · plan 543 · as of Aug 2026

Participants
10,290
Carriers on file
21
Disclosed commissions
$242,583
Renewal month
December

Plan brief

Schedule A lists 21 insured contracts covering health, dental, vision, life and disability; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 15,298 people.

Reported premium across the insured contracts is $18,858,076, with $242,583 in disclosed broker commissions — about 1.3% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

MERCER HEALTH & BENEFITS, LLC is the broker of record on 1 of the 21 contracts; the rest name a different broker or none.

18 carriers appear on the filing — METROPOLITAN LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN INC, PRUDENTIAL INSURANCE COMPANY OF AMERICA and KAISER FOUNDATION HEALTH PLANS, INC. OF NORTHERN CALIFORNIA among them — with METROPOLITAN LIFE INSURANCE COMPANY writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CONTINENTAL AMERICAN INSURANCE COMPANYLife4,049December$1,628,393$223,369
METLIFE LEGAL PLANS904December$202,259$18,535
PRUDENTIAL INSURANCE COMPANY OF AMERICADisability408December$29,579$679
PRUDENTIAL INSURANCE COMPANY OF AMERICA38December$4,582$0
METROPOLITAN LIFE INSURANCE COMPANYLife15,298December$6,283,859$0
KAISER FOUNDATION HEALTH PLANS, INC. OF NORTHERN CALIFORNIAHealth180December$1,875,568$0
KAISER FOUNDATION HEALTH PLAN OF GEORGIAHealth32December$231,531$0
ZURICH AMERICAN INSURANCE COMPANY36,963December$22,106$0
PRUDENTIAL INSURANCE COMPANY OF AMERICADisability8,227December$2,203,325$0
PRUDENTIAL INSURANCE COMPANY OF AMERICADisability2,869December$561,836$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth40December$408,716$0
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth43December$432,918$0
COMPSYCH CORPORATION8,715December$81,659$0
KAISER FOUNDATION HEALTH PLAN INCHealth294December$2,298,457$0
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth4December$15$0
EYEMED VISION CAREVision4December$191$0
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INCHealth62December$574,923$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth47December$458,083$0
MCS LIFE INSURANCE COMPANYHealth, Dental, Vision, Life28December$336,785$0
BLUE CROSS BLUE SHIELD OF HAWAIIHealth196December$880,218$0
TAKE CAREHealth20December$343,073$0

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