No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERCIAN SOLUTIONS EIN 52-1590516 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $474K |
| BENEFITS DNA, LLC NONE | Direct payment from the plan; Actuarial Service code 11 | 2400 MARKET STREET, SUITE 245 PHILADELPHIA, PA 19103 | $215K |
| CAPITAL RX, INC. EIN 35-2512946 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $196K |
| ANTHEM HEALTH PLANS, INC. EIN 06-1475928 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance agents and brokers; Contract Administrator; Direct payment from the plan; Other services; Claims processing; Insurance brokerage commissions and fees; Other commissions; Float revenue Service code 12 | — | $183K |
| HLH HOLDINGS, LLC NONE | Direct payment from the plan; Contract Administrator Service code 13 | 130 N 18TH ST. 26TH FL STE 2675 PHILADELPHIA, PA 19103 | $54K |
| CITIZENS BANK EIN 20-2635739 NONE | Direct payment from the plan; Other services Service code 49 | — | $53K |
| ROBERT M. CHEVERIE & ASSOCIATES EIN 06-1335139 NONE | Legal; Direct payment from the plan Service code 29 | — | $38K |
| HINES & ASSOCIATES EIN 36-3545085 NONE | Contract Administrator Service code 13 | — | $32K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| REID & RIEGE, P.C. EIN 06-0867204 NONE | Legal; Direct payment from the plan Service code 29 | — | $22K |
| MERRILL LYNCH PIERCE FENNER & SMITH EIN 13-5674085 NONE | Investment management; Direct payment from the plan Service code 28 | — | $22K |
| LOWER HUDSON VALLEY EAP EIN 13-3240307 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $15K |
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 | 469 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 274 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 743 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 536 | $63K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS, INC. | 536 | $547K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 536 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 536 | — |
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.