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 pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Aon Consulting Inc LifeOther | LifeOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 1 contract 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 657 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 662 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 563 | $170K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 563 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 563 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: Metropolitan Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE EIN 41-1289245 NONE | Direct payment from the plan; Claims processing; Other fees Service code 12 | — | $162K |
| SILVERSCRIPTS EIN 11-2580136 NONE | Other fees; Direct payment from the plan; Claims processing Service code 12 | — | $84K |
| HEALTHEQUITY EIN 52-2383166 NONE | Claims processing; Direct payment from the plan; Other fees Service code 12 | — | $35K |
| FORVIS MAZARS, LLP EIN 44-0160260 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $21K |
| BUCK GLOBAL LLC EIN 13-3954297 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $13K |
| JP MORGAN CHASE BANK, N.A. EIN 13-4994650 NONE | Securities brokerage commissions and fees; Investment management; Trustee (bank, trust company, or similar financial institution); Investment management fees paid indirectly by plan; Other fees; Float revenue; Non-monetary compensation; Shareholder servicing fees; Direct payment from the plan Service code 21 | — | $7K |
| CVS/CAREMARK EIN 05-0340626 NONE | Other fees; Claims processing; Direct payment from the plan Service code 12 | — | $6K |
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.
9 contacts
Phone and email for the actuary and top hat administrator are on Pro.
10 filings · 2015 to 2025