Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingPremium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Zenith American Solutions Stop-lossLifeOther | Stop-lossLifeOther | |
LifeStop-loss | LifeStop-loss |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 212 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 212 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS, INC. | 404 | $157K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | UNION LABOR LIFE INSURANCE COMPANY | 404 | $775K |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 309 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 404 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Union Labor Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SAV-RX EIN 47-0527013 NONE | Claims processing Service code 12 | 224 NORTH PARK AVENUE FREMONT, NE 06492 | $543K |
| ZENITH AMERICAN SOLUTIONS INC EIN 06-0811449 NONE | Accounting (including auditing); Claims processing Service code 10 | 10 TECHNOLOGY DRIVE WALLINGFORD, CT 06492 | $76K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general) Service code 16 | 116 HUNTINGTON AVE, 8TH FLOOR BOSTON, MA 02116 | $31K |
| HOLM OHARA EIN 13-3591118 NONE | Legal Service code 29 | 3 WEST 35TH STREET, 9TH FLOOR NEW YORK, NY 10001 | $21K |
| BEERS, HAMERMAN, COHEN & BURGER PC EIN 47-2517893 NONE | Accounting (including auditing) Service code 10 | 234 CHURCH STREET NEW HAVEN, CT 06510 | $19K |
| SEGAL SELECT INVESTMENTS EIN 13-2646110 NONE | Insurance brokerage commissions and fees Service code 53 | 333 WEST 34TH STREET 2ND FLORR NEW YORK, NY 10001 | $10K |
| NOVAK FRANCELLA EIN 61-1436956 NONE | Accounting (including auditing) Service code 10 | 255 ROUTE 80 KILLINGWORTH, CT 06419 | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025