See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 10 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 6 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON BLUE CROSS BLUE SHIELD EIN 22-0999690 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $4.7M |
| TRI STATE ADMINISTRATORS EIN 22-3478819 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $4.5M |
| EXPRESS SCRIPTS, INC EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.1M |
| O'BRIEN, BELLAND & BUSHINSKY, LLC EIN 37-1467056 NONE | Legal; Direct payment from the plan Service code 29 | — | $83K |
| WITHUM, SMITH & BROWN, P.C. EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $68K |
| VISION BENEFITS OF AMERICA EIN 25-1149206 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $42K |
| SLEVIN & HART, P.C. EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| BROADREACH MEDICAL RESOURCES, INC. EIN 02-0640082 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| MORGAN, LEWIS & BOCKIUS, LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| HEALTH MANAGEMENT SYSTEMS EIN 13-2770433 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $19K |
| CHEIRON EIN 13-4215617 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $18K |
| DR. ROBERT B. DANIELS EIN 23-2534279 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $8K |
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 | 10,953 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 195 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 11,148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HORIZON HEALTHCARE SERVICES, INC | 8,049 | $3.3M |
| Vision(3 contracts, 2 carriers) | VISION BENEFITS OF AMERICA | 5,247 | $249K |
| Life insurance | USABLE LIFE | 9,917 | $463K |
| Prescription drug | EXPRESS SCRIPTS | 12 | $52K |
| Other(4 contracts, 3 carriers) | USABLE LIFE | 9,917 | $830K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,917 | — |
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."
No prospect flags tripped on this filing.