No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| D H EVANS TPA LLC DBA PATH ADMIN EIN 46-1226464 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $294K |
| MERITAIN HEALTH NONE | Claims processing Service code 12 | 300 CORPORATE PARKWAY AMHERST, NY 14226 | $111K |
| BENECARD EIN 22-2998772 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $76K |
| WILLIG, WILLIAMS & DAVIDSON NONE | Legal; Direct payment from the plan Service code 29 | 1845 WALNUT ST, 24TH FLOOR PHILADELPHIA, PA 19103 | $69K |
| PACKER THOMAS EIN 34-1667340 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| MARINER INSTITUTIONAL LLC NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 875 GREEN TREE RD. STE. 840 PITTSBURGH, PA 15220 | $19K |
| UNITED CONCORDIA NONE | Claims processing; Direct payment from the plan Service code 12 | 1800 CENTER STREET, SUITE 2B 220 CAMP HILL, PA 17011 | $13K |
| PFM ADVISORS EIN 23-3087064 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $9K |
| SAV-RX NONE | Direct payment from the plan; Claims processing Service code 12 | 224 NORTH PARK AVENUE FREMONT, NE 68025 | $9K |
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 | 411 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 128 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 539 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY INC | 190 | $279K |
| Dental | UNITED CONCORDIA COMPANIES INC | 0 | $31K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE CO | 406 | $511K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 406 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.