See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 3 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRI-STATE ADMINISTRATORS NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 27 ROLAND AVENUE, SUITE 2 MT LAUREL, NJ 08054 | $5.9M |
| INDEPENDENCE BLUE CROSS EIN 23-2184623 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.2M |
| AMERIHEALTH EIN 23-2521508 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $749K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $572K |
| O'BRIEN, BELLAND & BUSHINSKY, LLC EIN 37-1467056 NONE | Legal; Direct payment from the plan Service code 29 | — | $407K |
| UNITED CONCORDIA EIN 25-1687586 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $230K |
| SPEAR WILDERMAN EIN 23-2749511 NONE | Legal; Direct payment from the plan Service code 29 | — | $216K |
| COMPREHENSIVE HEALTHCARE SYS. INC EIN 47-4496373 NONE | Direct payment from the plan; Other services Service code 49 | — | $101K |
| BRIDGEWAY BENEFIT TECHNOLOGIES LLC EIN 52-1796473 NONE | Other services; Direct payment from the plan Service code 49 | — | $55K |
| BARATZ & ASSOCIATES, P.A. EIN 22-2212404 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $43K |
| LEGAL CLUB FINANCIAL CORP EIN 20-2139462 NONE | Legal; Direct payment from the plan Service code 29 | — | $33K |
| MORGAN STANLEY EIN 26-4310632 NONE | Consulting (pension); Direct payment from the plan Service code 17 | — | $20K |
| CHEIRON EIN 13-4215617 NONE | Actuarial; Insurance services Service code 11 | — | $17K |
| VISION BENEFITS OF AMERICA EIN 25-1149206 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $16K |
| PNC BANK EIN 22-1146430 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $14K |
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 | 6,016 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 370 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,386 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DOMINION NATIONAL | 118 | $31K |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 4,720 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,720 | — |
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 filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported. Worth a call.