No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $580K |
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $541K |
| CONIFER VALUE BASED CARE NONE | Claims processing Service code 12 | 7624 WARREN PARKWAY FRISCO, TX 75034 | $115K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $102K |
| LEDBETTER PARISI LLC EIN 03-0599899 NONE | Legal; Direct payment from the plan Service code 29 | — | $62K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| INTERNATIONAL FOUNDATION OF NONE | Other fees; Direct payment from the plan Service code 50 | EMPLOYEE BENEFIT PLANS 18700 W. BLUEMOUND RD. BROOKFIELD, WI 53045 | $25K |
| DOVER CONSULTING GROUP EIN 31-1281984 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $24K |
| JOHNSON PRINTING NONE | Direct payment from the plan; Other services Service code 49 | 4136 GREEN VALLEY ROAD HUNTINGTON, WV 25701 | $24K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0169194 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $16K |
| MOUNTAIN STATE INSURANCE AGENCY EIN 55-0239510 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $7K |
| FRESECURE NONE | Other fees Service code 99 | 6550 YOR AVE. S #500 EDINA, MN 55435 | $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 | 1,385 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 282 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,667 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 0 | $106K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,405 | $159K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,194 | $114K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 121 | $187K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,291 | $557K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,405 | $159K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,405 | — |
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.