No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HCC BENEFITS EIN 35-1817054 NONE | Claims processing Service code 12 | — | $191K |
| CUSTOM DESIGNS BENEFITS EIN 82-0563218 NONE | Claims processing Service code 12 | — | $76K |
| HEALTHSPAN EIN 31-1431434 NONE | Claims processing Service code 12 | — | $42K |
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 | 265 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 265 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTAL CARE PLUS | 221 | $99K |
| Vision | EYEMED | 236 | $12K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 265 | $50K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 265 | $28K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 265 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.