See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 3 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFITS ADMINISTRATIVE SERVICES CO EIN 34-1627054 NONE | Contract Administrator; Participant communication; Direct payment from the plan Service code 13 | — | $119K |
| MILLIMAN EIN 91-0675641 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $85K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $51K |
| BDO USA, LLP EIN 13-5381590 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $44K |
| GROOM LAW GROUP EIN 52-0969534 NONE | Legal; Direct payment from the plan Service code 29 | — | $40K |
| CDS ADMINISTRATORS, INC. EIN 25-1352803 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $32K |
| JOHN T. GRIGSBY EIN 20-8994792 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $26K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $20K |
| RICHARD LICHTENSTEIN EIN 20-8994792 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $15K |
| VISION SERVICE PLAN EIN 31-0725743 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $14K |
| DELTA DENTAL EIN 31-0685339 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $11K |
| DORIS RERICHA EIN 20-8994792 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $9K |
| CHESTER MUSIEL EIN 20-8994792 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 257 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 257 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan is either richly funded or stuck with a bad rate.