No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017137 SUBSIDIARY OF TRUSTEE | Trustee (directed); Investment management fees paid directly by plan; Custodial (securities); Custodial (other than securities); Investment management fees paid indirectly by plan Service code 18 | — | $42K |
| HOOKER & HOLCOMBE RETIREMENT SVCS EIN 20-0346540 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $31K |
| MOSS ADAMS LLP EIN 91-0189318 NONE | Accounting (including auditing) Service code 10 | — | $26K |
| KPMG LLP EIN 13-5565207 NONE | Accounting (including auditing) Service code 10 | — | $7K |
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 | 393 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 105 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 512 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | SILVERSCRIPT INSURANCE CO. | 1 | $1K |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 97 | $240K |
| Prescription drug(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 97 | — |
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.