No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| 1199SEIU NATIONAL BENEFIT FUND FOR EIN 13-1628401 RELATED PARTY | Other fees Service code 99 | — | $11.2M |
| EVERNORTH BEHAVIORAL HEALTH, INC. EIN 41-1648670 NONE | Consulting (pension) Service code 17 | — | $466K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Actuarial Service code 11 | — | $360K |
| MEDCO HEALTH SOLUTIONS,INC.(ADMIN O EIN 22-3461740 NONE | Claims processing Service code 12 | — | $320K |
| WORKERS BENEFIT CONSORTIUM INC EIN 82-2087332 NONE | Participant communication Service code 38 | — | $273K |
| 3BF PARTNERS LLC EIN 37-1920632 RELATED PARTY | Other fees Service code 99 | — | $271K |
| STEP VISUAL COMMUNICATIONS LLC EIN 26-4662241 NONE | Copying and duplicating Service code 36 | — | $240K |
| KPMG LLP EIN 13-5565207 NONE | Accounting (including auditing) Service code 10 | — | $231K |
| CVS PHARMACY, INC (ADMIN ONLY) EIN 05-0340626 NONE | Claims processing Service code 12 | — | $170K |
| ZELIS PAYMENTS HOLDINGS, LLC EIN 84-3069529 NONE | Claims processing Service code 12 | — | $147K |
| CHANGE HEALTHCARE OPERATIONS, LLC EIN 20-5731067 NONE | Claims processing Service code 12 | — | $92K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Claims processing Service code 12 | — | $88K |
| INOVALON PROVIDER, INC EIN 41-1973195 NONE | Claims processing Service code 12 | — | $87K |
| CHANGE HEALTHCARE LLC EIN 81-3611560 NONE | Claims processing Service code 12 | — | $72K |
| RALPH S. BERGER, ESQ EIN 13-2793161 NONE | Legal Service code 29 | — | $32K |
| HEALTHEQUITY, INC. EIN 52-2383166 NONE | Claims processing Service code 12 | — | $32K |
| MED REVIEW INC EIN 13-3240352 NONE | Claims processing Service code 12 | — | $28K |
| CQFLUENCY EIN 32-0102982 NONE | Other services Service code 49 | — | $18K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal Service code 29 | — | $17K |
| OPTUM360 LLC EIN 46-3328307 NONE | Other services Service code 49 | — | $9K |
| FIRST DATA CORP EIN 47-0731996 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
| CHIA JUNG CHANG NONE | Other services Service code 49 | CJ TRANSLATION COMPANY, 167 FREEDOM STATEN ISLAND, NY 10314 | $6K |
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 | 12,975 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMALGAMATED LIFE INSURANCE COMPANY | 11,092 | $646K |
| Dental(2 contracts, 2 carriers) | AMALGAMATED LIFE INSURANCE COMPANY | 11,092 | $804K |
| Vision | AMALGAMATED LIFE INSURANCE COMPANY | 11,092 | $646K |
| Prescription drug | AMALGAMATED LIFE INSURANCE COMPANY | 11,092 | $646K |
| Other | HCC LIFE INSURANCE COMPANY | 398 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,092 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.