No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 PARTY-IN-INTEREST | Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | 3350 PEACHTREE ROAD PO BOX 30302-445 ATLANTA, GA 303261039 | $309K |
| SEGAL COMPANY EIN 13-1975125 PARTY-IN-INTEREST | Actuarial Service code 11 | 1300 E NINTH STREET SUITE 1900 CLEVELAND, OH 441141593 | $125K |
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 TPA | Plan Administrator Service code 14 | 500 VIRGINIA STREET EAST CHARLESTON, WV 25301 | $123K |
| KEYBANK NATIONAL ASSOCIATION EIN 34-1586030 PARTY-IN-INTEREST | Shareholder servicing fees; Custodial (securities) Service code 19 | 127 PUBLIC SQUARE CLEVELAND, OH 44114 | $27K |
| ENVISION PHARMACEUTICAL EIN 45-0832318 PARTY-IN-INTEREST | Claims processing Service code 12 | 2181 EAST AURORA ROAD SUITE 201 TWINSBURG, OH 44087 | $24K |
| DELTA DENTAL PARTY-IN-INTEREST | Claims processing Service code 12 | PO BOX 633198 CINCINNATI, OH 45263 | $23K |
| LEONARD SIGALL EIN 31-0808224 PARTY-IN-INTEREST | Legal Service code 29 | 6470 EAST MAIN STREET REYNOLDSBURG, OH 43068 | $22K |
| FRUSH & ASSOCIATES, INC. EIN 31-1308134 PARTY-IN-INTEREST | Accounting (including auditing) Service code 10 | 699 SOUTH FRONT STREET COLUMBUS, OH 43206 | $17K |
| NATIONAL INVESTMENT SERVICES EIN 80-0169636 PARTY-IN-INTEREST | Investment management Service code 28 | 777 E WISCONSIN AVENUE SUITE 2350 MILWAUKEE, WI 53202 | $10K |
| VISION SERVICE PLAN EIN 94-1632821 PARTY-IN-INTEREST | Claims processing Service code 12 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 956707985 | $6K |
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 | 441 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 49 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 470 | $0 |
| Life insurance | METLIFE INSURANCE COMPANY | 490 | $25K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 490 | $554K |
| Other | METLIFE INSURANCE COMPANY | 490 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 490 | — |
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.