No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK, INC. EIN 23-1294723 NONE | Other insurance fees and expenses; Insurance services Service code 23 | FIFTH AVENUE PLACE 120 FIFTH AVENUE PITTSBURGH, PA 15222 | $1.1M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $451K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Insurance services; Contract Administrator; Claims processing Service code 12 | 21653 NETWORK PLACE CHICAGO, IL 60673 | $238K |
| LIBERTY LIFE ASSURANCE CO OF BOSTON EIN 04-6076039 NONE | Claims processing; Contract Administrator; Insurance services Service code 12 | P.O. BOX 2658 CAROL STREAM, IL 60123 | $163K |
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 | 4,457 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 169 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,626 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | 7,681 | $1.9M |
| Vision(2 contracts) | COMBINED INSURANCE COMPANY OF AMERICA | 6,546 | $462K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 3,798 | $1.1M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 3,777 | $582K |
| Other(2 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 3,798 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,681 | — |
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.