No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPOWER ANNUITY INSURANCE COMPANY O RECORDKEEPER | Recordkeeping fees Service code 64 | 8515 EAST ORCHARD ROAD GREENWOOD VILLAGE, CO 80111 | $147K |
| CAPFINANCIAL PARTNERS LLC DBA CAPTR INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | 4208 SIX FORKS RD STE 1700 RALEIGH, NC 27609 | $96K |
| BOBER MARKEY FEDOROVICH & COMPANY AUDITOR | Accounting (including auditing) Service code 10 | 3421 RIDGEWOOD RD STE 300 AKRON, OH 44333 | $18K |
| DEFINITI LLC OTHER | Other fees Service code 99 | 2201 TIMBERLOCH PL STE 150 THE WOODLANDS, TX 77380 | $1K |
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 | 1,167 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 24 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 225 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,416 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | PACIFIC LIFE INSURANCE COMPANY | 18 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 18 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.