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| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE COMPA EIN 59-1031071 CLAIMS ADMIN. | Participant communication; Contract Administrator; Other services; Named fiduciary; Float revenue; Direct payment from the plan; Claims processing; Non-monetary compensation Service code 12 | — | $2.2M |
| LIFE INSURANCE COMPANY OF NORTH AME EIN 23-1503749 ADMINISTRATIVE SERVICE | Insurance services Service code 23 | — | $157K |
| UNUM LIFE INSURANCE COMPANY OF AMER EIN 01-0278678 ADMINISTRATIVE SERVICE | Contract Administrator Service code 13 | — | $137K |
| CIGNA HEALTH & LIFE INSURANCE CO | Participant communication; Float revenue; Named fiduciary; Other services; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator Service code 12 | — | $0 |
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 | 62,530 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11,352 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 73,882 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | METROPOLITAN LIFE INSURANCE COMPANY | 746 | $99K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 7,848 | $1.2M |
| Vision(10 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 42,208 | $8.9M |
| Life insurance(5 contracts, 4 carriers) | MEDMUTUAL LIFE INSURANCE COMPANY | 67,389 | $28.4M |
| Short-term disability(8 contracts, 5 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,921 | $2.6M |
| Long-term disability(12 contracts, 7 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,987 | $4.0M |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 53 | $22K |
| Other(10 contracts, 9 carriers) | MEDMUTUAL LIFE INSURANCE COMPANY | 67,389 | $17.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 67,389 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.