No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL BENEFITS ADMINSTRATORS EIN 31-1249371 CONTRACT | Plan Administrator Service code 14 | 1975 TAMARACK RD NEWARK, OH 43055 | $109K |
| PAYER COMPASS EIN 46-2047081 CONTRACT | Other fees Service code 99 | 5800 GRANITE PARKWAY SUITE 450 PLANO, TX 75024 | $13K |
| DAVIS VISION EIN 11-3051991 CONTRACT | Other fees Service code 99 | 881 ELKRIDGE LANDING RD STE 300 LINTHICUM, MD 21090 | $8K |
| MEDICAL BENEFITS MUTUAL LIFE INS EIN 31-4210910 CONTRACT | Plan Administrator Service code 14 | 1975 TAMARACK RD NEWARK, OH 43055 | $6K |
| PHIA GROUP CONSULTING, LLC EIN 46-1439866 CONTRACT | Other fees Service code 99 | P.O. BOX 499 CANTON, MA 02021 | $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 | 126 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 126 | $74K |
| Short-term disability | COMPANION LIFE INSURANCE CO | 126 | $47K |
| Long-term disability | COMPANION LIFE INSURANCE CO | 126 | $47K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 126 | $316K |
| Other | STANDARD INSURANCE COMPANY | 126 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.