No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTH CARE SERVICES, INC EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $247K |
| THE SEGAL COMPANY EIN 13-1975125 ACTUARY & CONSULTANT | Consulting (general); Actuarial Service code 11 | — | $190K |
| STEWART C. MILLER CO ADMINISTRATIVE | Contract Administrator Service code 13 | 2111 W. LINCOLN HIGHWAY MERRILLVILLE, IN 46410 | $33K |
| LEDBETTER, PARISI & SOLARS EIN 03-0599899 LEGAL | Legal Service code 29 | — | $29K |
| BLUE & CO., LLC EIN 35-1178661 AUDITOR | Accounting (including auditing) Service code 10 | 720 E. PETE ROSE WAY, STE 100 CINCINNATI, OH 45202 | $24K |
| STRATEGIC CAPITAL ADVISORS EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $16K |
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 | 331 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 112 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 443 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 1,307 | $179K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 386 | $195K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 409 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,307 | — |
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."
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.