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 pricingThe primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
The primary broker changed. The plan may listen to a new pitch.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Stop-loss | Stop-loss | |
Broker: Aebly and Associates Ins Services LifeOther | LifeOther | |
Life | Life |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts 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 | 340 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 342 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE INSURANCE CO. | 342 | $44K |
| Stop-loss / reinsurancereinsurance | EXCELLUS BLUE CROSS BLUE SHIELD | 335 | $146K |
| Other | HARTFORD LIFE INSURANCE CO. | 312 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 342 | - |
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: Hartford Life Insurance Co. |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUECROSS BLUESHIELD EIN 15-0329043 NONE | Claims processing Service code 12 | — | $302K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $141K |
| LAURIE GOOD EIN 16-0776208 EMPLOYEE | Employee (plan) Service code 30 | — | $111K |
| THE SEGAL COMPANY INC EIN 13-1835864 NONE | Consulting (general); Actuarial Service code 11 | — | $105K |
| BLITMAN AND KING, LLP EIN 16-1047304 NONE | Legal Service code 29 | — | $90K |
| DAWN DOWNING EIN 16-0776208 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| MARIA HILBERT EIN 16-0776208 EMPLOYEE | Employee (plan) Service code 30 | — | $65K |
| LIALETTE BULLOCK EIN 16-0776208 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| TERRI LEFLER EIN 16-0776208 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| ARCARA LENDA EUSANIO & STACEY CPAS EIN 47-1793720 NONE | Accounting (including auditing) Service code 10 | — | $47K |
| MANNING & NAPIER, INC. EIN 45-3240790 NONE | Investment management Service code 28 | — | $27K |
| PC RESULTS, INC. EIN 94-3473327 NONE | Consulting (general); Other services Service code 16 | — | $14K |
| FAIR HEALTH INC. EIN 90-0524293 NONE | Other services Service code 49 | — | $9K |
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.
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10 filings · 2016 to 2025