No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM EIN 95-4331852 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $352K |
| EXPRESS SCRIPTS NONE | Claims processing; Direct payment from the plan Service code 12 | ONE EXPRESSSCRIPTS WAY ST. LOIUS, MO 63121 | $98K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $94K |
| SOLXSYS ADMINISTRATIVE SOLUTIONS EIN 83-2454243 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $89K |
| ONE DIGITAL EIN 58-2522668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $33K |
| DELTA DENTAL OF OHIO EIN 31-0685339 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $30K |
| BOYD WATTERSON ASSET MANAGEMENT EIN 36-3027981 NONE | Direct payment from the plan; Investment management Service code 28 | — | $25K |
| IRON WORKERS 17 FRINGE BENEFIT INC. EIN 34-1472960 RELATED FUND | Contract Administrator; Direct payment from the plan Service code 13 | — | $21K |
| J SCHAEFER & COMPANY LLC EIN 82-3706925 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $14K |
| POFOK CRAMPTON LLC EIN 85-2393001 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| TUCKER ARENSBERG NONE | Legal; Direct payment from the plan Service code 29 | ONE PPG PLACE, SUITE 1500 PITTSBURGH, PA 15222 | $9K |
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 | 679 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 305 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 984 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 409 | $94K |
| Vision | NATIONAL VISIONS ADMINISTRATORS LLC | 986 | $66K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HCC | 713 | $542K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 986 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.