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| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA, IN EIN 54-0357120 TPA | Float revenue; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | — | $3.0M |
| PRUDENTIAL INSURANCE CO OF AMERICA EIN 22-1211670 TPA | Consulting fees; Contract Administrator Service code 13 | — | $119K |
| TELUS HEALTH LTD EIN 52-1883918 EAP PROVIDER | Other services Service code 49 | — | $40K |
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 | 4,647 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,647 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | CIGNA LIFE AND HEALTH INSURANCE COMPANY | 312 | $3.5M |
| Dental(4 contracts, 3 carriers) | DELTA DENTAL OF NORTH CAROLINA | 8,974 | $11.9M |
| Vision(3 contracts, 2 carriers) | VSP | 3,980 | $869K |
| Life insurance(3 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 7,135 | $5.4M |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 7,135 | $5.2M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 7,135 | $5.0M |
| Prescription drug | HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC. | 103 | $1.2M |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 3,791 | $3.7M |
| Other(4 contracts, 3 carriers) | CIGNA LIFE AND HEALTH INSURANCE COMPANY | 883 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,974 | — |
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."
No prospect flags tripped on this filing.