No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMERITI RETIREMENT HEALTH SOLUTIONS EIN 57-1194227 CONSULTANT | Consulting fees Service code 70 | — | $17K |
| CBIZ SAVITZ EIN 31-1582098 BENEFITS PROCESSOR | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $9K |
| TIAA OF AMERICA EIN 13-1624203 RECORDKEEPER | Recordkeeping fees Service code 64 | — | $3K |
| THE SAVITZ ORGANIZATION EIN 23-1700844 BENEFITS PROCESSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $3K |
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 | 242 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 122 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 364 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 4 | $2K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 7 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7 | — |
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.