No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRUDENTIAL INSURANCE CO EIN 22-1211670 NONE | Direct payment from the plan; Other fees; Investment management Service code 28 | — | $4.8M |
| SILVERSCRIPT INSURANCE COMPANY EIN 20-2833904 NONE | Other fees; Contract Administrator Service code 13 | — | $3.0M |
| UNITED HEALTHCARE EIN 36-2739571 NONE | Contract Administrator; Other fees Service code 13 | — | $881K |
| HORIZON BLUE CROSS BLUE SHIELD EIN 22-0999690 NONE | Other fees; Contract Administrator Service code 13 | — | $472K |
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 | 22,522 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 22,522 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE CO., INC. | 27,520 | $324K |
| Vision | EYEMED VISION CARE | 3,665 | $176K |
| Life insurance(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 783 | $4.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 27,520 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.