No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| J.P. FARLEY CORPORATION EIN 34-1363719 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | 29055 CLEMENS RD WESTLAKE, OH 44145 | $27K |
| PROFESSIONAL BENEFIT ADMINISTRATORS EIN 34-1861441 CONSULTANT | Consulting fees Service code 70 | 33240 BAINBRIDGE RD SOLON, OH 44139 | $21K |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 06-0303370 PROVIDER NETWORK | Claims processing Service code 12 | 900 COTTAGE GROVE RD BLOOMFIELD, CT 06002 | $19K |
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 | 275 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 275 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | SIRIUS AMERICA INSURANCE COMPANY | 275 | $158K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 275 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
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.