No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH CARE SERVICE CORP EIN 36-1236610 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | — | $483K |
| ALIGHT SOLUTIONS LLC EIN 82-1061233 CONTRACT ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $124K |
| OPTUMRX EIN 11-2581812 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $104K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE/CUSTODIAN | Soft dollars commissions; Trustee (bank, trust company, or similar financial institution); Custodial (securities); Float revenue; Investment management fees paid directly by plan Service code 19 | — | $88K |
| CONSTELLATION ENERGY GENERATION LLC EIN 23-3064219 ADMINISTRATOR | Plan Administrator Service code 14 | — | $77K |
| WILLIS TOWERS WATSON EIN 53-0181291 ACTUARY | Actuarial Service code 11 | — | $53K |
| NISA INVESTMENT ADVISORS LLC EIN 48-1140940 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $46K |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | — | $30K |
| MITCHELL & TITUS EIN 13-2781641 AUDITOR | Accounting (including auditing) Service code 10 | — | $20K |
| SEGALL BRYANT & HAMILL INV. COUNSEL EIN 35-2679129 INVESTMENT MANAGEMENT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $18K |
| NEW YORK LIFE INSURANCE COMPANY EIN 13-5582869 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | — | $7K |
| MELLON CAPITAL MANAGEMENT CORP EIN 25-6078093 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $7K |
| CAISSA, LLC OTHER | Other services Service code 49 | 7825 WASHINGTON AVE SOUTH SUITE 725 BLOOMINGTON, MN 55439 | $5K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 894 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 261 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 40 | $12K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 40 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 40 | — |
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.