No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 23-2229683 NONE | Claims processing; Direct payment from the plan Service code 12 | 15 FARMINGTON AVE HARTFORD, CT 06156 | $176K |
| CAPITAL BLUE CROSS EIN 23-0455154 NONE | Direct payment from the plan; Other insurance fees and expenses Service code 50 | 2500 ELMERTON AVE HARRISBURG, PA 17177 | $176K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Actuarial; Direct payment from the plan Service code 11 | 101 NORTH WACKER DRIVE, SUITE 500 CHICAGO, IL 60606 | $116K |
| FABIAN & BYRN TPA, LLC EIN 25-1914887 NONE | Copying and duplicating; Direct payment from the plan; Contract Administrator Service code 13 | 425 EAGLE ROCK AVENUE SUITE 105 ROSELAND, NJ 07068 | $59K |
| CAP TRUST FINANCIAL ADVISORS EIN 26-0058143 NONE | Investment management fees paid directly by plan Service code 51 | 4208 SIX FORKS ROAD, STE 1700 RALEIGH, NC 27609 | $46K |
| JENNINGS SIGMOND, PC EIN 23-2025670 NONE | Direct payment from the plan; Legal Service code 29 | 1835 MARKET ST, STE 2800 PHILADELPHIA, PA 191032923 | $15K |
| ALAN ROSS AND COMPANY, PC EIN 20-5367494 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 10 HEARTHSTONE CT, STE 100 READING, PA 19606 | $12K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Actuarial; Direct payment from the plan Service code 11 | 1136 HAMILTON STREET, STE 103 ALLENTOWN, PA 18101 | $5K |
| SAV-RX EIN 47-0527013 NONE | Direct payment from the plan; Claims processing Service code 12 | 224 NORTH PARK AVE FREMONT, NE 68025 | $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 | 380 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 131 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 511 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH & LIFE INSURANCE COMPANY, INC | 201 | $372K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 201 | — |
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.