No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BCBS, ROCHESTER REGION EIN 15-0329043 NONE | Contract Administrator Service code 13 | — | $1.1M |
| YOUR BENEFITS RESOURCES (AON HEWITT EIN 36-2235791 NONE | Contract Administrator Service code 13 | — | $452K |
| MEDCO HEALTH SOLUTIONS, INC. EIN 22-3461740 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $228K |
| MVP HEALTH CARE EIN 14-1640868 ASO | Contract Administrator Service code 13 | — | $227K |
| AON HEWITT EIN 36-2235791 NONE | Contract Administrator Service code 13 | — | $90K |
| EBS-RMSCO, INC. EIN 16-1171765 TPA | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $85K |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 ASO | Contract Administrator Service code 13 | — | $66K |
| MERITAIN HEALTH EIN 16-1264154 ASO | Contract Administrator Service code 13 | — | $59K |
| VISION SERVICE PLAN EIN 22-2777159 ASO | Contract Administrator Service code 13 | — | $46K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 ASO | Contract Administrator Service code 13 | — | $24K |
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 | 4,138 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | INDEPENDENT HEALTH | 81 | $1.5M |
| Prescription drug | HEALTHNOW NEW YORK, INC. DBA BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 48 | $889K |
| Other(2 contracts, 2 carriers) | HEALTHNOW NEW YORK, INC. DBA BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 4,138 | $948K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,138 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.