No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE CO. DBA ANTHEM EIN 31-1440175 NONE | Contract Administrator; Direct payment from the plan; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $537K |
| MEMBER ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $393K |
| PLAN ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $207K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $96K |
| FRUSH CONSULTING EIN 31-1308134 NONE | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $64K |
| VORYS, SATER, SEYMOUR & PEASE EIN 31-4333125 NONE | Legal; Direct payment from the plan Service code 29 | — | $50K |
| AFFILIATED RESOURCE GROUP NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | P.O. BOX 491 DUBLIN, OH 43017 | $49K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $49K |
| SEI - INVESTMENT MANAGEMENT CORP EIN 23-3060382 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $46K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| CMAX ADVISORS EIN 30-0330106 NONE | Other commissions; Direct payment from the plan Service code 50 | — | $25K |
| PLUMBERS & PIPEFITTERS LOCAL 189 SPONSORING UNION RENT | Other services; Direct payment from the plan Service code 49 | 1250 KINNEAR ROAD COLUMBUS, OH 43212 | $24K |
| WILLIS TOWERS EIN 53-0181291 NONE | Consulting (pension) Service code 17 | — | $22K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $12K |
| ACA TRACK NONE | Participant communication; Direct payment from the plan Service code 38 | P.O. BOX 1285 WALLED LAKE, MI 48390 | $9K |
| IFEBP MEMBERSHIP EIN 39-1034021 CONFERENCE FEES | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $9K |
| SEI PRIVATE TRUST CO. EIN 04-2452803 NONE | Investment advisory (plan); Direct payment from the plan; Investment management Service code 27 | — | $5K |
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 | 820 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 95 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 915 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,547 | $281K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 881 | $945K |
| Other | HARTFORD LIFE AND ACCIDENT | 1,547 | $281K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,547 | — |
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.