No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BC LIFE & HEALTH INSURANCE CO EIN 95-4331852 NONE | Direct payment from the plan; Other services Service code 49 | — | $2.3M |
| CATALINA MEDIA DEVELOPMENT EIN 46-4057328 NONE | Other fees; Direct payment from the plan Service code 50 | — | $1.0M |
| CONVERGEONE, INC EIN 41-1763228 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $861K |
| NIGRO KARLIN SEGAL & FELDSTEIN EIN 95-3632775 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $750K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $686K |
| EPLAN EIN 20-3720767 NONE | Direct payment from the plan; Other services Service code 49 | — | $670K |
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $499K |
| PUBLIC GOODS POOL NONE | Other services; Direct payment from the plan Service code 49 | P.O. BOX 4757 SYRACUSE, NY 13221 | $431K |
| THREE RIVERS PROVIDER NETWORK EIN 83-1359536 NONE | Direct payment from the plan; Other services Service code 49 | — | $385K |
| SEGAL CONSULTING EIN 94-1503999 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $314K |
| DIMENSION DATA NORTH AMERICA EIN 13-2554344 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $271K |
| ADMINISTRATIVE SYSTEMS LLC EIN 90-0951700 NONE | Other services; Direct payment from the plan Service code 49 | — | $258K |
| EMPLOYEE 1008 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $256K |
| THE HARTFORD EIN 06-0838648 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $224K |
| EMPLOYEE 1013 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $210K |
| UC REGENTS NONE | Other services; Direct payment from the plan Service code 49 | 30304 AGOURA RD STE 100 AGOURA HILLS, CA 91301 | $207K |
| BEECHER CARLSON HOLDINGS INC EIN 20-0322653 NONE | Other services; Direct payment from the plan Service code 49 | — | $197K |
| VITECH SYSTEMS GROUP, INC EIN 13-3785492 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $169K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $169K |
| KRAW LAW GROUP EIN 32-0465891 NONE | Legal; Direct payment from the plan Service code 29 | — | $167K |
| SWITCH LTD EIN 51-0500225 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $161K |
| EMPLOYEE 4225 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $159K |
| EMPLOYEE 4359 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $148K |
| THE HARMAN PRESS EIN 95-2280466 NONE | Direct payment from the plan; Other services Service code 49 | — | $142K |
| WITHUMSMITH+BROWN PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $129K |
| CDW DIRECT NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 75723 CHICAGO, IL 60675 | $124K |
| EMPLOYEE 1017 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| GARTNER INC EIN 04-3099750 NONE | Direct payment from the plan; Other services Service code 49 | — | $115K |
| FIRST BANKCARD NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | PO BOX 3412 OMAHA, NE 68103 | $110K |
| EMPLOYEE 7415 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $109K |
| EMPLOYEE 4224 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| EMPLOYEE 7147 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| EMPLOYEE 1128 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| TENTEK EIN 95-4211286 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $100K |
| EMPLOYEE 4362 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| EMPLOYEE 393 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| EMPLOYEE 1341 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
| EMPLOYEE 3830 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| NORTHERN TRUST EIN 36-2723087 NONE | Direct payment from the plan; Investment management fees paid directly by plan; Other fees; Investment management Service code 28 | — | $86K |
| EMPLOYEE 7670 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| EMPLOYEE 1043 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $82K |
| EMPLOYEE 1045 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| EMPLOYEE 1495 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| EMPLOYEE 2700 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| EMPLOYEE 514 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| MILLER, KAPLAN, ARASE & CO. EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $79K |
| EMPLOYEE 6743 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| EMPLOYEE 5147 EIN 95-2216351 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| EMPLOYEE 5233 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| EMPLOYEE 8265 EIN 95-2216351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
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 | 8,720 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,935 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 10,655 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 19,238 | $265K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 19,238 | $265K |
| Other | HARTFORD LIFE AND ACCIDENT | 19,238 | $265K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,238 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.