Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: The Segal Company Stop-loss | Stop-loss |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 1 contract with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,048 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 36 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,084 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,116 | $901K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,116 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: The Union Labor Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 CLAIMS PROCESSOR | Other services; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $487K |
| BENESYS INC THIRD PARTY ADMINISTRATOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | 3660 STUTZ DRIVE, STE 101 330-270-0453 CANFIELD, OH 44406 | $224K |
| MAHONING, TRUMBULL AND SHENAGO VALL COLLECTION AGENCY | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3660 STUTZ DRIVE, STE 101 CANFIELD, OH 44406 | $76K |
| PNC BANK BANK SERVICE CHARGES | Trustee (bank, trust company, or similar financial institution); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 300 FIFTH AVENUE PITTSBURGH, PA 15222 | $53K |
| THE SEGAL COMPANY MEDICAL CONSULTANT | Consulting (general) Service code 16 | 1111 SUPERIOR AVENUE CLEVELAND, OH 44114 | $38K |
| FAULKNER, HOFFMAN & PHILLIPS ATTORNEY | Legal Service code 29 | 20445 EMERALD PKWY 210 CLEVELAND, OH 44135 | $22K |
| MARINER INSTITUTIONAL, LLC INVESTMENT CONSULTANT | Consulting (general) Service code 16 | 531 W. MORSE BLVD WINTER PARK, FL 32789 | $20K |
| FIFTH THIRD BANK RETIREMENT SERVICE INVESTMENT CUSTODIAN | Custodial (securities) Service code 19 | 5050 KINGSLEY DRIVE CINCINNATI, OH 45263 | $15K |
| YURCHYK & DAVIS CPA'S INC EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $13K |
| PRINT CENTER 1 LLC PRINTING SERVICES | Copying and duplicating Service code 36 | 907 WILMINGTON AVE NEW CASTLE, PA 16101 | $8K |
| IRONWORKERS LOCAL 207 COLLECTION PAYROLL AUDIT FEES | Accounting (including auditing) Service code 10 | 694 BEV ROAD, STE A BOARDMAN, OH 44512 | $7K |
| PCORI PCORI FEES | Other insurance fees and expenses Service code 73 | 1333 NEW HAMPSHIRE AVE WASHINGTON, DC 20036 | $7K |
| PARSONS RISK STRATEGIES, LLC ACTUARY | Actuarial Service code 11 | 347 TIMBERLAKE DRIVE AVON LAKE, OH 44012 | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
1 contact
10 filings · 2016 to 2025