Sign up free to preview 20 contract rows with premium, retention, and renewal dates
Free accounts unlock saves, downloads, and 3-year history.
Sign up free to preview commissions and fees for 12 broker rows
Free accounts unlock saves, downloads, and 3-year history.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CVS CAREMARK EIN 05-0340626 TPA | Claims processing Service code 12 | — | $8.1M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 TPA | Named fiduciary; Non-monetary compensation; Contract Administrator; Investment management fees paid indirectly by plan; Claims processing; Direct payment from the plan; Participant communication; Other services Service code 12 | — | $1.5M |
| ADP BENEFIT SERVICES EIN 58-2018248 TPA | Claims processing Service code 12 | — | $290K |
| WAGEWORKS EIN 94-3351864 TPA | Plan Administrator; Claims processing Service code 12 | — | $99K |
| FEI BEHAVIORAL HEALTH EIN 39-1714534 TPA | Claims processing Service code 12 | — | $64K |
| LIFE INSURANCE COMPANY OF NORTH AME EIN 23-1503749 TPA | Plan Administrator; Claims processing Service code 12 | — | $38K |
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 | 4,823 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,823 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 157 | $2.5M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4,219 | $1.7M |
| Vision | VISION SERVICE PLAN | 1,882 | $349K |
| Long-term disability(5 contracts, 5 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 22 | $23K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 83 | $760K |
| Stop-loss / reinsurancereinsurance | ANTHEM | 22,113 | $931K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4,219 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,113 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.