No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| XEROX HR SOLUTIONS, LLC EIN 16-0468020 NONE | Participant communication; Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $302K |
| HIGHMARK EIN 23-1294723 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $201K |
| UNITED HEALTHCARE EIN 36-3377945 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $113K |
| BDO USA, LLP NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 330 N. WABASH AVE SUITE 3200 CHICAGO, IL 60611 | $18K |
| UNITED CONCORDIA EIN 25-1687589 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $17K |
| TOWERS WATSON EIN 23-1159360 NONE | Actuarial; Consulting (pension); Direct payment from the plan Service code 11 | — | $10K |
| CAREMARK EIN 05-0479173 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,400 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,400 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.