No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | 9200 US ROUTE 60 ONA, WV 25545 | $2.5M |
| HIGHMARK WEST VIRGINIA EIN 55-0624615 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | 614 MARKET STREET PARKERSBURG, WV 26102 | $786K |
| THE SEGAL COMPANY EIN 13-2646110 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | 333 W 34TH STREET NEW YORK, NY 10001 | $383K |
| PART D ADVISORS EIN 85-3689655 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 17199 N LAUREL PARK DR STE 400 LIVONIA, MI 48152 | $331K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Direct payment from the plan Service code 50 | PO BOX 360142 PITTSBURGH, PA 15250 | $290K |
| COMMUNITY INSURANCE CO DBA ANTHEM EIN 31-1440175 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 3350 PEACHTREE ROAD POB 30302-445 ATLANTA, GA 30326 | $242K |
| LYRA HEALTH, INC. EIN 47-2935915 NONE | Direct payment from the plan Service code 50 | 270 EAST LANE BURLINGAME, CA 94010 | $190K |
| JOHNSON PRINTING COMPANY EIN 55-0726948 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 4136 GREEN VALLEY ROAD HUNTINGTON, WV 25701 | $161K |
| DELTA DENTAL EIN 31-0685339 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | PO BOX 30416 LANSING, MI 48909 | $143K |
| LEDBETTER PARTNERS EIN 03-0599899 NONE | Legal; Direct payment from the plan Service code 29 | 5078 WOOSTER ROAD, SUITE 400 CINCINNATI, OH 45226 | $83K |
| NATIONAL REAL ESTATE ADVISORS EIN 26-3437991 NONE | Investment management; Direct payment from the plan Service code 28 | 900 7TH ST NW WASHINGTON DC, DC 20001 | $55K |
| KEY BANK EIN 34-0797057 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | P.O. BOX 93885 CLEVELAND, OH 44101 | $53K |
| HARRIS HARDIN & COMPANY EIN 55-0756523 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 404 NINTH STREET HUNTINGTON, WV 25723 | $52K |
| MEDICAL REVIEW INSTITUTE EIN 87-0515201 NONE | Consulting (general); Direct payment from the plan Service code 16 | PO BOX 35145 SEATTLE, WA 98124 | $43K |
| SEGAL SELECT INSURANCE COMPANY EIN 13-2646110 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 333 W 34TH STREET NEW YORK, NY 10001 | $27K |
| WESTERN ASSET MANAGEMENT NONE | Direct payment from the plan; Investment management Service code 28 | 620 8TH AVE NEW YORK, NY 10018 | $27K |
| SEGAL ROGERS CASEY EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | 333 W 34TH STREET NEW YORK, NY 10001 | $23K |
| GRAY, GRIFFITH & MAYS. A.C. EIN 55-0621482 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 707 VIRGINIA STREET EAST, SUITE 400 CHARLESTON, WV 25301 | $21K |
| NORTHERN TRUST COMPANY EIN 26-6411809 NONE | Investment management; Direct payment from the plan Service code 28 | 181 W MADISON CHICAGO, IL 60603 | $20K |
| HYATT REGENCY COLUMBUS NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
| JP MORGAN EIN 13-3200244 NONE | Direct payment from the plan; Investment management Service code 28 | 270 PARK AVENUE NEW YORK, NY 10017 | $10K |
| JOHN DASCOLI EIN 20-5780253 NONE | Legal; Direct payment from the plan Service code 29 | 2442 KANAWHA BLVD E CHARLESTON, WV 25311 | $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 | 4,747 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,319 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,066 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 4,534 | $291K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 4,534 | $291K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,534 | — |
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.