No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $242K |
| ANTHEM HEALTH PLANS, INC. EIN 06-1475928 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $118K |
| ZELIS EIN 86-1040704 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $52K |
| ROBERT CHEVERIE & ASSOCIATES, P.C. NONE | Legal; Direct payment from the plan Service code 29 | 333 EAST RIVER DRIVE, SUITE 101 EAST HARTFORD, CT 06108 | $24K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
| LABOR FIRST, LLC EIN 06-1750191 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $16K |
| CHARLES SCHWAB EIN 94-1737782 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $13K |
| HINES & ASSOCIATES NONE | Consulting (general); Direct payment from the plan Service code 16 | 115 E HIGHLAND AVE ELGIN, IL 60120 | $11K |
| BROWN & BROWN NONE | Direct payment from the plan; Actuarial Service code 11 | 520 CROMWELL AVENUE ROCKY HILL, CT 06067 | $9K |
| CBIZ RETIREMENT PLAN SERVICES EIN 31-1582098 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $9K |
| PENSION FUND EVALUATIONS, INC. EIN 11-2503982 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $6K |
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 | 217 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 134 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | LABOR FIRST, LLC | 52 | $157K |
| Dental | ANTHEM HEALTH PLANS OF MAINE | 293 | $206K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 355 | $121K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 233 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.