No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE DBA ANTHEM EIN 31-1440175 NONE | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $2.9M |
| QUANTUM EIN 20-8423895 NONE | Participant communication; Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $2.1M |
| AMERIBEN EIN 82-0497661 NONE | Contract Administrator; Claims processing Service code 12 | — | $1.7M |
| CAREMARK PHARMACY INC. EIN 05-0340626 NONE | Contract Administrator; Claims processing Service code 12 | — | $351K |
| MERCER EIN 13-2834414 NONE | Actuarial Service code 11 | — | $186K |
| CANCERLINK LLC NONE | Consulting (general) Service code 16 | 3700 FISHINGER BOULEVARD HILLIARD, OH 43026 | $17K |
| MEADEN & MOORE EIN 34-1818258 NONE | Accounting (including auditing) Service code 10 | — | $12K |
| NORTHERN TRUST CORPORATION EIN 36-2723087 NONE | Custodial (securities) Service code 19 | — | $300 |
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 | 7,054 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,080 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 16,827 | $339K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,827 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
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.