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 4 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 1 broker row. $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 AND LIFE INSURANCE CO EIN 59-1031071 NONE | Direct payment from the plan; Contract Administrator; Participant communication; Float revenue; Other services; Non-monetary compensation; Claims processing; Named fiduciary Service code 12 | — | $1.0M |
| CVS PHARMACY, INC EIN 05-0340626 NONE | Other services; Direct payment from the plan; Participant communication; Claims processing; Contract Administrator Service code 12 | — | $681K |
| CPS OPTICAL INC. NONE | Other services; Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 11 HANOVER SQUARE 8TH FLOOR NEW YORK, NY 10005 | $83K |
| COHNREZNICK LLP EIN 22-1478099 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| BUCK GLOBAL, LLC EIN 13-3954297 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $21K |
| ERNST AND YOUNG EIN 34-6565596 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $12K |
| RFN INC. MULTIMEDIA GROUP NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 40 DREXEL DRIVE BAY SHORE, NY 11706 | $9K |
| STATE STREET BANK AND TRUST COMPANY EIN 04-1867445 NONE | Other fees; Direct payment from the plan; Trustee (directed); Float revenue; Investment management Service code 25 | — | $2K |
| CIGNA | Float revenue; Direct payment from the plan; Other services; Named fiduciary; Participant communication; Non-monetary compensation; Contract Administrator; Claims processing 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,550 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,550 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | EMBLEM HEALTH | 53 | $399K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 53 | — |
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."
No prospect flags tripped on this filing.