See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 1 contract row with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 1 broker row. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRI STATE JOINT FUND EIN 06-0850110 AFFILIATED ORGANIZATION | Plan Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $252K |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 06-1475928 NONE | Claims processing; Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | $169K |
| UBS FINANCIAL SERVICES INC EIN 13-2638166 NONE | Custodial (securities); Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Account maintenance fees; Other fees; Investment advisory (plan) Service code 19 | — | $124K |
| CLAIMS PROCESSOR EIN 06-0942903 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| FUND MANAGER EIN 06-0942903 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| MED CARE MANAGEMENT INC EIN 88-0429522 NONE | Other fees; Other services Service code 49 | — | $28K |
| S M ESPOSITO & COMPANY PC EIN 06-1298465 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $21K |
| HMC HEALTHWORKS INC EIN 75-3189468 NONE | Other fees; Other services Service code 49 | — | $19K |
| PREFERRED NETWORK ACCESS EIN 36-4018433 NONE | Other fees; Other services Service code 49 | — | $11K |
| CRAIG MITCHELL EIN 06-0942903 UNION TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $8K |
| NICHOLAS REUT EIN 06-0942903 EMPLOYER TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $6K |
| ALLEGIANT RX EIN 02-6015031 NONE | Other services; Contract Administrator; Custodial (other than securities) Service code 13 | 51 GOFFSTOWN ROAD MANCHESTER, NH 03102 | $6K |
| ROARK LEVINE EIN 06-0942903 EMPLOYER TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $5K |
| MPL LLC EIN 06-1537302 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Other commissions Service code 22 | — | $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 | 488 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 499 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,024 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 505 | $60K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 505 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 505 | — |
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."
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.