No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MOSAIC & TERRAZZO PENSION FUND EIN 13-5676829 RELATED BENEFIT PLAN | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $362K |
| ANTHEM BLUE CROSS AND BLUE SHIELD EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing; Other services Service code 12 | — | $189K |
| GOULD KOBRICK & SCHLAPP PC EIN 13-3082707 NONE | Accounting (including auditing) Service code 10 | — | $31K |
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 NONE | Actuarial Service code 11 | — | $28K |
| GORLICK, KRAVITZ & LISTHAUS, PC EIN 13-3790829 NONE | Legal; Direct payment from the plan Service code 29 | — | $16K |
| LITTLER MENDELSON EIN 94-2602731 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| WORKFORCE ASSISTANCE PROGRAM EIN 20-8231145 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $6K |
| OPTUMRX EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Claims processing; Float revenue; Other fees; Direct payment from the plan Service code 12 | — | $5K |
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 | 217 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 53 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 270 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 216 | $43K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 221 | $387K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 216 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 221 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.