No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $51K |
| MEDICAL MUTUAL OF OHIO EIN 34-0648820 CLAIMS PROCESSING | Claims processing Service code 12 | — | $45K |
| R&B CONSULTING, LLC BENEFIT CONSULTANTS | Consulting (general) Service code 16 | 123 KILBURN DRIVE 856-607-1177 CHERRY HILL, NJ 08003 | $10K |
| GREAT LAKES ADVISIORS, INC EIN 36-3707782 INVESTMENT MANAGER | Investment management Service code 28 | — | $9K |
| YURCHYK & DAVIS CPA'S, INC EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $8K |
| BUCK CONSULTANTS EIN 13-3954297 ACTUARY | Actuarial Service code 11 | — | $7K |
| GREEN, HAINES, SGAMBATI EIN 34-1224415 ATTORNEY | Legal Service code 29 | — | $5K |
| GALLAGHER FIDUCIARY ADVISORS INVESTMENT CONSULTANT | Consulting (pension) Service code 17 | 2 PIERCE PLACE 630-285-3562 ITASCA, IL 601423141 | $5K |
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 | 281 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 297 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 290 | $172K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 290 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.