No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLAN, INC. EIN 06-1475928 NONE | Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Float revenue Service code 12 | — | $502K |
| EMPLOYEE EIN 06-0691728 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $379K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Custodial (securities); Account maintenance fees; Other fees; Investment advisory (plan); Direct payment from the plan Service code 19 | — | $117K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $106K |
| GUARDIAN LIFE INSURANCE COMPANY EIN 13-5123390 NONE | Claims processing; Direct payment from the plan; Participant communication; Contract Administrator Service code 12 | — | $63K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $59K |
| MEDCARE MANAGEMENT EIN 88-0429522 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $55K |
| O'SULLIVAN ASSOCIATES EIN 22-1837827 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $54K |
| ROBERT M. CHEVERIE & ASSOCIATES EIN 06-1335139 NONE | Legal; Direct payment from the plan Service code 29 | — | $46K |
| BUCKLEY, FRAME, BOUDREAU & CO., P.C EIN 06-0931761 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| PREFERRED NETWORK ACCESS, INC. NONE | Claims processing; Direct payment from the plan Service code 12 | 1510 W. 75TH STREET, SUITE 250 DARIEN, IL 60561 | $34K |
| COOKE & BIELER, INC. EIN 23-3082822 NONE | Direct payment from the plan; Investment management Service code 28 | — | $28K |
| MASSUCCI & ASSOCIATES EIN 06-1462567 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $24K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $16K |
| BOYD WATTERSON ASSET MANAGEMENT EIN 34-1922005 NONE | Direct payment from the plan; Investment management Service code 28 | — | $15K |
| BUDGET PRINTERS & OFFICE SUPPLIES EIN 06-1073579 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $14K |
| WEBSTER BANK EIN 06-0273620 NONE | Other fees Service code 99 | — | $12K |
| EATON VANCE CORP. NONE | Direct payment from the plan; Investment management Service code 28 | TWO INTERNATIONAL PLACE BOSTON, MA 02110 | $11K |
| ROTHSCHILD ASSET MANAGEMENT EIN 13-2544634 NONE | Direct payment from the plan; Investment management Service code 28 | — | $6K |
| UBS FINANCIAL SERVICES | Other fees Service code 99 | — | $0 |
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 | 1,532 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 607 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,978 | $198K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,415 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,978 | — |
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."
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.