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 20 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 9 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 |
|---|---|---|---|
| AETNA EIN 06-6033492 MEDICAL ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $8.2M |
| UNITED HEALTHCARE EIN 22-1211670 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $5.8M |
| VISION SERVICE PLAN EIN 22-2586639 | Claims processing Service code 12 | P.O. BOX 495907 CINCINNATI, OH 452495907 | $3.4M |
| EXPRESS SCRIPTS EIN 22-3461740 MEDICAL ADMINISTRATOR | Contract Administrator Service code 13 | — | $2.9M |
| HEALTHYROADS INC EIN 33-0783504 MEDICAL ADMINISTRATOR | Contract Administrator Service code 13 | — | $2.2M |
| VIRGIN PULSE, INC. EIN 20-2547480 MEDICAL ADMINISTRATOR | Contract Administrator Service code 13 | 75 FOUNTAIN STREET PROVIDENCE, RI 02902 | $790K |
| RX SAVINGS LLC EIN 26-3642434 MEDICAL ADMINISTRATOR | Contract Administrator Service code 13 | — | $163K |
| MERCER EIN 13-2834414 ACTUARY | Actuarial Service code 11 | — | $112K |
| COHNREZNICK LLP EIN 22-1478099 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $57K |
| SEGAL COMPANY EIN 13-1835864 CONSULTANTS | Consulting (general) Service code 16 | — | $29K |
| PRUDENTIAL INS CO OF AMERICA EIN 22-1211670 THIRD PARTY ADMINISTRATOR | Investment management fees paid directly by plan Service code 51 | — | $9K |
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 | 33,407 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 190 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 33,597 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(12 contracts, 10 carriers) | KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA INC. | 6,307 | $14.9M |
| Dental(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 6,307 | $2.2M |
| Vision(3 contracts, 2 carriers) | VISION SERVICE PLAN | 21,802 | $3.3M |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE CO OF AMERICA | 33,674 | $4.6M |
| Long-term disability | PRUDENTIAL INSURANCE CO OF AMERICA | 24,289 | $5.6M |
| Prescription drug(11 contracts, 9 carriers) | KAISER FOUNDATION HEALTH PLAN OF CALIFORNIA INC. | 1,524 | $12.8M |
| Other(8 contracts, 5 carriers) | NATIONAL UNION/CHARTIS | 33,407 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 33,674 | — |
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.