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 7 contract rows 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 4 broker rows. $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 |
|---|---|---|---|
| CIGNA HEALTH & LIFE INS. CO. EIN 59-1031071 NONE | Float revenue; Non-monetary compensation; Claims processing; Participant communication; Named fiduciary; Other services; Contract Administrator; Direct payment from the plan Service code 12 | — | $632K |
| DELTA DENTAL OF NEW YORK, INC. EIN 11-1908021 NONE | Claims processing; Direct payment from the plan; Plan Administrator Service code 12 | — | $38K |
| MATRIX ABSENCE MANAGEMENT, INC. EIN 77-0493584 NONE | Claims processing Service code 12 | — | $24K |
| CIGNA | Direct payment from the plan; Other services; Float revenue; Contract Administrator; Claims processing; Named fiduciary; Non-monetary compensation; Participant communication Service code 12 | — | $0 |
| CIGNA (HEALTHY REWARD VENDORS) | Contract Administrator; Float revenue; Other services; Direct payment from the plan; Participant communication; Named fiduciary; Claims processing; Non-monetary compensation Service code 12 | — | $0 |
| CIGNA (HEALTHY REWARDS VENDOR) | Contract Administrator; Float revenue; Other services; Direct payment from the plan; Participant communication; Named fiduciary; Claims processing; Non-monetary compensation Service code 12 | — | $0 |
| CIGNA (HEALTHY REWARDS VENDORS) | Float revenue; Named fiduciary; Other services; Non-monetary compensation; Claims processing; Direct payment from the plan; Participant communication; Contract Administrator Service code 12 | — | $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 | 1,244 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,255 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | GEISINGER HEALTH PLAN | 2,500 | $1.3M |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INS. CO. OF NY | 2,346 | $143K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,191 | $167K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 45 | $3K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,132 | $279K |
| Prescription drug | GEISINGER HEALTH PLAN | 172 | $1.3M |
| Stop-loss / reinsurancereinsurance | TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | 978 | $577K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,500 | — |
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."
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.