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.
See commissions and fees for 3 broker rows. $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.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CONNECTICUT GENERAL LIFE INS CO EIN 59-1031071 CLAIM ADMINISTRATION | Non-monetary compensation; Contract Administrator; Claims processing; Participant communication; Direct payment from the plan; Other services; Named fiduciary; Float revenue Service code 12 | A CIGNA COMPANY HARTFORD, CT 06152 | $148K |
| PREPAID DENTAL CARE PLAN EIN 02-0273013 DENTAL CLAIMS PROCESSING | Claims processing Service code 12 | ONE DELTA DRIVE CONCORD, NH 03302 | $12K |
| CIGNA BEHAVIORAL HEALTH, INC. EIN 41-1648670 CLAIM ADMINISTRATION | Direct payment from the plan; Claims processing; Contract Administrator; Participant communication Service code 12 | A CIGNA COMPANY HARTFORD, CT 06152 | $8K |
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 | 295 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | CONNECTICUT GENERAL AND LIFE INSURANCE CO. & AFFILIATES | 360 | $649K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 295 | $7K |
| Stop-loss / reinsurancereinsurance | CONNECTICUT GENERAL AND LIFE INSURANCE CO. & AFFILIATES | 360 | $649K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 295 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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."
Broker compensation exceeds 5% of premium. This is either a small-plan minimum fee or an inefficient broker structure open to a counter-bid.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.