No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK INC EIN 23-1294723 | Claims processing Service code 12 | — | $406K |
| FABIAN & BYRN LLC EIN 25-1914887 | Plan Administrator Service code 14 | — | $77K |
| PEOPLES SECURITY BANK & TRUST EIN 24-0729120 | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $44K |
| THE MCKEOGH COMPANY EIN 23-3003375 | Actuarial Service code 11 | — | $44K |
| SAV-RX PRESCRIPTION SERVICES EIN 47-0527013 | Claims processing Service code 12 | — | $43K |
| MMQ & ASSOCIATES P.C. EIN 23-2226550 | Accounting (including auditing) Service code 10 | — | $21K |
| KANG HAGGERTY EIN 23-2220388 | Legal Service code 29 | — | $13K |
| MERANZE KATZ & GAUDIOSO, P.C. EIN 23-1496747 | Legal Service code 29 | — | $13K |
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 | 425 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 136 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 561 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 564 | $286K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 561 | $335K |
| Other | HARTFORD LIFE AND ACCIDENT | 564 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 564 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.