No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVERSIDE HEALTH EIN 45-3449075 NONE | Other services Service code 49 | — | $3.3M |
| BENESYS, INC. EIN 38-2383171 NONE | Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $676K |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 84-0747736 NONE | Claims processing; Other fees Service code 12 | — | $634K |
| BROWNSTEIN HYATT FARBER SCHRECK LLP EIN 26-1367865 NONE | Legal Service code 29 | — | $343K |
| NATIONAL INVESTMENT SERVICES OF AME EIN 84-3937993 NONE | Investment management fees paid directly by plan Service code 51 | — | $291K |
| RUBINBROWN LLP EIN 43-0765316 NONE | Accounting (including auditing) Service code 10 | — | $290K |
| NEVADA HEALTH SOLUTIONS LLC EIN 46-2711071 NONE | Other fees Service code 99 | — | $244K |
| NAVITUS HEALTH SOLUTIONS, LLC EIN 04-3608530 NONE | Claims processing Service code 12 | — | $148K |
| CHEIRON, INC. EIN 13-4215617 NONE | Actuarial Service code 11 | — | $147K |
| NURSE CANDACE CONSULTING EIN 81-4655974 NONE | Other services Service code 49 | — | $105K |
| SMART SOURCE EIN 30-0830429 NONE | Copying and duplicating; Participant communication Service code 36 | — | $86K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 84-2694744 NONE | Other services Service code 49 | — | $72K |
| LION BUFFALO, LLC EIN 83-0660314 NONE | Other services Service code 49 | — | $72K |
| HAIKAL EXEMPTION TRUST EIN 27-7131988 NONE | Other services Service code 49 | — | $62K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Float revenue; Participant communication; Direct payment from the plan; Other services; Contract Administrator; Claims processing; Non-monetary compensation Service code 12 | — | $50K |
| SYNERGY LABORATORIES DBA LAB EXPRES EIN 32-0599740 NONE | Other services Service code 49 | — | $33K |
| ALLIANT INSURANCE SERVICES EIN 33-0785439 NONE | Claims processing Service code 12 | — | $30K |
| BUCK GLOBAL, LLC EIN 83-1116912 NONE | Accounting (including auditing) Service code 10 | — | $30K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Other services Service code 49 | — | $30K |
| SEGAL SELECT EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $22K |
| AMPLIFON HEARING HEALTH CARE EIN 85-0437037 NONE | Other fees Service code 99 | — | $20K |
| UA LOCAL 525 EIN 88-0030428 AFFILIATED UNION LOCAL | Other services Service code 49 | — | $19K |
| AMERICAN TOXICOLOGY EIN 20-1992978 NONE | Other services Service code 49 | — | $18K |
| NEW ENGLAND PENSION CONSULTANTS LLC EIN 26-1429809 NONE | Consulting (general) Service code 16 | — | $15K |
| HUMAN BEHAVIOR INSTITUTE EIN 88-0342146 NONE | Insurance services Service code 23 | — | $15K |
| HARMONY HEALTHCARE EIN 04-3290453 NONE | Insurance services Service code 23 | — | $14K |
| BMO HARRIS BANK N.A. EIN 36-2085229 NONE | Custodial (securities); Custodial (other than securities) Service code 18 | — | $12K |
| COVERALL NORTH AMERICA INC. EIN 33-0101479 NONE | Other services Service code 49 | — | $10K |
| IRON MOUNTAIN, INC. EIN 23-2588479 NONE | Other services Service code 49 | — | $9K |
| QUEST DIAGNOSTICS INC. EIN 88-0099333 NONE | Other services Service code 49 | — | $9K |
| NV ENERGY EIN 88-0198358 NONE | Other services Service code 49 | — | $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 | 1,615 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 466 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,081 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 359 | $73K |
| Vision | VISION SERVICE PLAN | 1,855 | $214K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,862 | $65K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,803 | $1.7M |
| Other(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,862 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,862 | — |
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.
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.