No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ACTIVATE HEALTHCARE EIN 27-0908752 NONE | Other services Service code 49 | — | $2.9M |
| BENESYS, INC. EIN 38-2383171 NONE | Contract Administrator; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $687K |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 84-0747736 NONE | Claims processing; Other fees Service code 12 | — | $496K |
| BROWNSTEIN HYATT FARBER SCHRECK LLP EIN 26-1367865 NONE | Legal Service code 29 | — | $360K |
| NEVADA HEALTH SOLUTIONS LLC EIN 46-2711071 NONE | Other fees Service code 99 | — | $226K |
| NATIONAL INVESTMENT SERVICES OF AME EIN 84-3937993 NONE | Investment management fees paid directly by plan Service code 51 | — | $223K |
| RUBINBROWN LLP EIN 43-0765316 NONE | Accounting (including auditing) Service code 10 | — | $217K |
| NURSE CANDACE CONSULTING EIN 81-4655974 NONE | Other services Service code 49 | — | $208K |
| NAVITUS HEALTH SOLUTIONS, LLC EIN 04-3608530 NONE | Claims processing Service code 12 | — | $132K |
| CHEIRON, INC. EIN 13-4215617 NONE | Actuarial Service code 11 | — | $131K |
| LION BUFFALO, LLC EIN 83-0660314 NONE | Other services Service code 49 | — | $70K |
| SYNERGY LABORATORIES DBA LAB EXPRES EIN 32-0599740 NONE | Other services Service code 49 | — | $63K |
| HAIKAL EXEMPTION TRUST EIN 27-7131988 NONE | Other services Service code 49 | — | $59K |
| SMART SOURCE EIN 30-0830429 NONE | Participant communication; Copying and duplicating Service code 36 | — | $41K |
| VAXSERVE EIN 23-2970998 NONE | Other services Service code 49 | — | $35K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Other services Service code 49 | — | $33K |
| ALLIANT INSURANCE SERVICES EIN 33-0785439 NONE | Claims processing Service code 12 | — | $28K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Other services Service code 49 | — | $26K |
| SEGAL SELECT EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $25K |
| BMO HARRIS BANK N.A. EIN 36-2085229 NONE | Custodial (other than securities) Service code 18 | — | $23K |
| HUMAN BEHAVIOR INSTITUTE EIN 88-0342146 NONE | Insurance services Service code 23 | — | $21K |
| UA LOCAL 525 EIN 88-0030428 AFFILIATED UNION LOCAL | Other services Service code 49 | — | $19K |
| NEW ENGLAND PENSION CONSULTANTS LLC EIN 26-1429809 NONE | Consulting (general) Service code 16 | — | $15K |
| COVERALL NORTH AMERICA INC. EIN 33-0101479 NONE | Other services Service code 49 | — | $13K |
| QUEST DIAGNOSTICS INC. EIN 88-0099333 NONE | Other services Service code 49 | — | $12K |
| IRON MOUNTAIN, INC. EIN 23-2588479 NONE | Other services Service code 49 | — | $7K |
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 | 1,579 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 373 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,952 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 363 | $68K |
| Vision | VISION SERVICE PLAN | 1,694 | $189K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,857 | $51K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,960 | $1.4M |
| Other(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,857 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,960 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.