No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES INC EIN 41-1289245 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $1.9M |
| GURSKY LAW ASSOCIATES EIN 04-4485374 NONE | Legal; Direct payment from the plan Service code 29 | — | $313K |
| TAMMY BEAUDREAULT EIN 05-0367950 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $185K |
| CHRISTINE ROY EIN 05-0367950 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $145K |
| DELTA DENTAL OF RHODE ISLAND EIN 05-0296998 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $142K |
| DAWN O'CONNOR EIN 05-0367950 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $141K |
| SABRINA REDDY EIN 05-0367950 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $139K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Actuarial; Custodial (securities) Service code 11 | — | $135K |
| CLAUDIA LAVALLEE EIN 05-0367950 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $52K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $50K |
| CAREMARK RX LLC EIN 20-8404182 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $48K |
| MEKETA INVESTMENT GROUP INC EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $47K |
| COIA & LEPORE, LTD. NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 226 S. MAIN STREET 1 PROVIDENCE, RI 02903 | $34K |
| DAVIS VISION INC EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $26K |
| UNION BANK & TRUST COMPANY EIN 41-1267434 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $18K |
| BANK OF AMERICA EIN 56-0906609 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $16K |
| CMIT SOLUTIONS EIN 74-2799618 NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
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 | 3,778 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 158 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,936 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AETNA LIFE INSURANCE COMPANY | 3,861 | $340K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 3,475 | $1.2M |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 5,014 | $478K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,014 | — |
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.