Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Stop-loss | Stop-loss | |
Broker: Alight Solutions Dental | Dental | |
Broker: Gallagher Benefit Services Rx | Rx | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 6 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,593 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,593 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,593 | $788K |
| Prescription drug(3 contracts) | HUMANA INSURANCE COMPANY | 196 | $610K |
| Stop-loss / reinsurancereinsurance | QBE A&H | 905 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,593 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Metropolitan Life Insurance Company | |
Carrier: Humana Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERIBEN SOLUTIONS, INC. EIN 82-0252469 NONE | Plan Administrator Service code 14 | 3449 E COPPER POINT DRIVE MERIDIAN, ID 83642 | $535K |
| PREMERA EIN 91-1662324 NONE | Claims processing Service code 12 | 7001 220TH ST. SW MOUNTLAKE TERRACE, WA 98043 | $289K |
| GALLAGHER BENEFIT SERVICES EIN 38-3770824 NONE | Consulting (general) Service code 16 | 13965 W CHINDEN BLVD STE 300 BOISE, ID 83713 | $282K |
| NAVITUS EIN 04-3608530 NONE | Contract Administrator Service code 13 | 2601 WEST BELTLINE HIGHWAY SUITE 600 MADISON, WI 53713 | $108K |
| VIVIO EIN 81-2714421 NONE | Contract Administrator Service code 13 | — | $86K |
| ALASKA VACCINE EIN 92-6001185 NONE | Other services Service code 49 | 2025 FIRST AVE SEATTLE, WA 98121 | $83K |
| AMERIBEN EIN 82-0252469 NONE | Claims processing Service code 12 | 3449 E COPPER POINT DRIVE MERIDIAN, ID 83642 | $65K |
| TELUS HEALTH (US) LTD. EIN 52-1883918 NONE | Contract Administrator Service code 13 | 250 ROYALL STREET SUITE 210W CANTON, MA 02021 | $15K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
5 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025