| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $10K | — | $10K | 1.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS & BLUE SHIELD CLAIMS PROCESSOR | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing Service code 12 | 220 VIRGINIA AVE INDIANAPOLIS, IN 46203 | $473K |
| BENESYS INC THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | 3660 STUTZ DRIVE, STE 101 330-270-0453 CANFIELD, OH 44406 | $220K |
| 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 | $75K |
| 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 | $42K |
| THE SEGAL COMPANY MEDICAL CONSULTANT | Consulting (general) Service code 16 | 1111 SUPERIOR AVENUE CLEVELAND, OH 44114 | $40K |
| FAULKNER, HOFFMAN & PHILLIPS ATTORNEY | Legal Service code 29 | 20445 EMERALD PKWY 210 CLEVELAND, OH 44135 | $25K |
| MARINER INSTITUTIONAL, LLC INVESTMENT CONSULTANT | Consulting (general) Service code 16 | 531 W. MORSE BLVD WINTER PARK, FL 32789 | $16K |
| PRINT CENTER 1 LLC PRINTING SERVICES | Copying and duplicating Service code 36 | 907 WILMINGTON AVE NEW CASTLE, PA 16101 | $16K |
| FIFTH THIRD BANK RETIREMENT SERVICE INVESTMENT CUSTODIAN | Custodial (securities) Service code 19 | 600 SUPERIOR AVENUE, EAST CLEVELAND, OH 44114 | $14K |
| YURCHYK & DAVIS CPA'S INC EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $13K |
| PARAMOUNT PREFERRED SOLUTIONS CLAIMS MANAGEMENT | Claims processing Service code 12 | 25001 EMERY RD., STE 320 CLEVELAND, OH 44128 | $10K |
| CITY PRINTING PRINTING SERVICES | Copying and duplicating Service code 36 | 122 OAK HILL AVE YOUNGSTOWN, OH 44502 | $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 | $6K |
| PARSONS RISK STRATEGIES, LLC ACTUARY | Actuarial Service code 11 | 347 TIMBERLAKE DRIVE AVON LAKE, OH 44012 | $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 | 1,065 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 76 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,083 | $853K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,141 | — |
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.