No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 59-1031071 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $290K |
| PATH ADMINISTRATORS, INC. EIN 46-1226464 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $254K |
| BENESYS, INC. NONE | Contract Administrator; Direct payment from the plan Service code 13 | 700 TOWERS DRIVE SUITE 300 TROY, MI 48098 | $131K |
| BENECARD, INC. EIN 22-2998772 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $131K |
| CHARLES JOHNSTON EIN 23-2077724 NONE | Legal; Direct payment from the plan Service code 29 | — | $62K |
| DELTA DENTAL EIN 23-1667011 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $44K |
| CBIZ EIN 23-1700844 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $42K |
| KANG HAGGERTY & FEYROT, LLC NONE | Legal; Direct payment from the plan Service code 29 | 123 S. BROAD STREET, SUITE 1670 PHILADELPHIA, PA 19109 | $27K |
| PFM ASSET MANAGEMENT, LLC EIN 23-3087064 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $22K |
| INETICO INC. EIN 20-0457663 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $20K |
| FISCHER DORWART EIN 23-2247478 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $19K |
| NOVAK FRANCELLA, LLC NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 1 PRESIDENTIAL BLVD. BALA CYNWYD, PA 19004 | $10K |
| ZELIS COST MANAGEMENT NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Claims processing; Direct payment from the plan Service code 10 | 333 EAST BUTTERFIELD ROAD LOMBARD, IL 60148 | $7K |
| NATIONAL VISION ADMINISTRATORS EIN 74-3033381 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $6K |
| CLEARY, JOSEM & TRIGIANI NONE | Legal; Direct payment from the plan Service code 29 | 325 CHESTNUT STREET PHILADELPHIA, PA 19106 | $5K |
| U.S. BANK EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan; Float revenue; Soft dollars commissions Service code 19 | — | $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 | 1,005 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 553 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,558 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | US FIRE INSURANCE COMPANY | 1,005 | $450K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,005 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.