No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES EIN 22-0999690 NONE | Other services; Direct payment from the plan Service code 49 | — | $185K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $65K |
| NANCY FRADELLA EIN 22-6220289 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| TARA NICHOLLS EIN 22-6220289 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| MSPC EIN 22-2951202 ACCT FOR LOCAL 641 | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $45K |
| ALICE RYAN EIN 22-6220289 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| KROLL HEINEMAN CARTON, LLC EIN 76-0760981 ATTY FOR LOCAL 641 | Legal; Direct payment from the plan Service code 29 | — | $40K |
| VANDA NENO EIN 22-6220289 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| SUMMIT ACTUARIAL SERVICES, LLC EIN 20-3838633 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $32K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Other services Service code 49 | — | $23K |
| DELTA DENTAL OF NJ EIN 22-1896118 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $19K |
| UBS FINANCIAL SERVICES EIN 13-2638166 NONE | Investment advisory (plan); Account maintenance fees; Investment management fees paid directly by plan Service code 27 | — | $13K |
| TEAMSTERS SERVICE CENTER EIN 13-1964856 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $12K |
| ROTHSCHILD EIN 13-2544634 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $7K |
| U.S. BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $2K |
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 | 523 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 117 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 640 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,159 | $55K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,159 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,159 | — |
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.