No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FISHER BROYLES LLP EIN 56-2332885 ATTORNEY | Legal Service code 29 | 945 EAST PACES FERRY ROAD SUITE 200 ATLANTA, GA 30326 | $33K |
| DONALD R VALANE CPA PC EIN 11-3496023 ACCOUNTANT | Accounting (including auditing) Service code 10 | 1652 FALMOUTH AVENUE NEW HYDE PARK, NY 11040 | $20K |
| GALLAGHER FINANCIAL ADVISORS EIN 13-5624635 INVESTMENT MANAGER | Investment advisory (plan) Service code 27 | PO BOX 71396 CHICAGO, IL 60694 | $11K |
| US BANK EIN 31-0841136 INVESTMENT ADVISOR | Custodial (securities) Service code 19 | PO BOX 70870 ST PAUL, MN 55170 | $10K |
| RAMIREZ ASSET MANAGEMENT EIN 13-4006232 INVESTMENT ADVISOR | Investment management Service code 28 | 61 BROADWAY NEW YORK, NY 10006 | $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 | 44 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 57 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE HMO | 33 | $545K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 33 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.