Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthRxDentalVision | HealthRxDentalVision | |
Other | Other | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 12,066 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMALGAMATED LIFE INSURANCE COMPANY | 10,334 | $419K |
| Dental(2 contracts, 2 carriers) | AMALGAMATED LIFE INSURANCE COMPANY | 10,334 | $516K |
| Vision | AMALGAMATED LIFE INSURANCE COMPANY | 10,334 | $419K |
| Prescription drug | AMALGAMATED LIFE INSURANCE COMPANY | 10,334 | $419K |
| Other | HCC LIFE INSURANCE COMPANY | 422 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,334 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CVS PHARMACY, INC (ADMIN ONLY) EIN 05-0340626 NONE | Claims processing Service code 12 | — | $402K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Actuarial Service code 11 | — | $330K |
| EVERNORTH BEHAVIORAL HEALTH, INC. EIN 41-1648670 NONE | Consulting (pension) Service code 17 | — | $275K |
| KPMG LLP EIN 13-5565207 NONE | Accounting (including auditing) Service code 10 | — | $234K |
| STEP VISUAL COMMUNICATIONS LLC EIN 26-4662241 NONE | Copying and duplicating Service code 36 | — | $148K |
| INOVALON PROVIDER, INC EIN 41-1973195 NONE | Claims processing Service code 12 | CJ TRANSLATION COMPANY, 167 FREEDOM STATEN ISLAND, NY 10314 | $106K |
| HEALTHEQUITY, INC. EIN 52-2383166 NONE | Claims processing Service code 12 | — | $100K |
| ZELIS PAYMENTS HOLDINGS, LLC EIN 84-3069529 NONE | Claims processing Service code 12 | — | $66K |
| EXPRESS SCRIPTS, INC EIN 43-1420563 NONE | Claims processing Service code 12 | — | $34K |
| RALPH S. BERGER, ESQ EIN 13-2793161 NONE | Legal Service code 29 | — | $29K |
| LEVY RATNER, P.C. EIN 13-3726314 NONE | Legal Service code 29 | — | $14K |
| MEDCO HEALTH SOLUTIONS, INC. (ADM EIN 22-3461740 NONE | Claims processing Service code 12 | — | $13K |
| OPTUM360 LLC EIN 46-3328307 NONE | Other services Service code 49 | — | $10K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal Service code 29 | — | $7K |
| CQFLUENCY EIN 32-0102982 NONE | Other services Service code 49 | — | $6K |
| WESTERN ASSET MANAGEMENT COMPANY EIN 95-2705767 NONE | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025