No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS CO EIN 59-1031071 THIRD-PARTY ADMINISTRATO | Recordkeeping fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Float revenue; Contract Administrator; Non-monetary compensation; Other services; Direct payment from the plan Service code 12 | — | $365K |
| STANDISH MELLON ASSET MGMT CO, LLC EIN 25-1890416 INVESTMENT MANAGER | Direct payment from the plan; Investment management fees paid directly by plan; Investment management Service code 28 | — | $129K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE, INV ADV & MGMT | Investment management fees paid directly by plan; Investment management; Trustee (directed); Other fees; Float revenue; Direct payment from the plan; Investment advisory (plan); Account maintenance fees; Trustee (bank, trust company, or similar financial institution); Other investment fees and expenses Service code 21 | — | $126K |
| WILLIS TOWERS WATSON EIN 26-0775680 HRA ADMINISTRATION | Other fees; Direct payment from the plan; Other services Service code 49 | — | $117K |
| KPMG LLP EIN 13-5565207 PLAN AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $81K |
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 THIRD-PARTY ADMINISTRATO | Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Participant communication; Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $72K |
| FIDELITY INV INST OPS CO INC EIN 04-2647786 RECORDKEEPER | Direct payment from the plan; Recordkeeping fees; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $61K |
| ERNST & YOUNG LLP EIN 34-6565596 TAX FORM PREPARER | Consulting (general); Direct payment from the plan Service code 16 | — | $42K |
| CROWE LLP EIN 35-0921680 FINANCIAL STATEMENT PREP | Direct payment from the plan; Consulting (general); Accounting (including auditing) Service code 10 | — | $24K |
| PRIME THERAPEUTICS LLC EIN 26-0076803 PHARMACY BENEFIT MANAGER | Recordkeeping fees; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other services; Claims processing; Participant communication; Float revenue Service code 12 | — | $18K |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 THIRD-PARTY ADMINISTRATO | Recordkeeping fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Contract Administrator; Other services; Direct payment from the plan Service code 12 | — | $9K |
| AON CONSULTING, INC. EIN 22-2232264 FORM 5500 PREPARER | Consulting (general); Direct payment from the plan Service code 16 | — | $5K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 THIRD PARTY ADMINISTRATO | Float revenue; Other services Service code 49 | — | $0 |
| NORTHERN TRUST CORPORATION EIN 36-2723087 TRUSTEE | Other services; Soft dollars commissions; Investment management fees paid indirectly by plan Service code 49 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,496 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 426 | $2.1M |
| Vision | KAISER FOUNDATION HEALTH PLAN, INC. | 426 | $2.1M |
| Life insurance(7 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,820 | $617K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 426 | $2.1M |
| Other(2 contracts) | AETNA LIFE INSURANCE COMPANY | 4 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,820 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.