No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL BENEFITS ADMINISTRATORS INC EIN 31-1249371 CONTRACT | Plan Administrator Service code 14 | PO BOX 1009 NEWARK, OH 43058 | $220K |
| PAYER COMPASS EIN 46-2047081 CONTRACT | Other fees Service code 99 | PO BOX 844701 BOSTON, MA 02284 | $68K |
| FIRST INSURANCE GROUP OF MIDWEST EIN 34-1834526 BROKER | Insurance agents and brokers Service code 22 | 511 FIFTH STREET PO BOX 700 DEFIANCE, OH 43512 | $60K |
| RCS INSURANCE BROKERAGE, INC. EIN 16-1689464 BROKER | Insurance agents and brokers Service code 22 | 4555 LAKE FOREST DRIVE, STE 510 CINCINNATI, OH 45242 | $56K |
| MEDICAL BENEFITS MUTUAL LIFE INS EIN 31-4210910 CONTRACT | Plan Administrator Service code 14 | PO BOX 1009 NEWARK, OH 43058 | $19K |
| QUALITY CARE PARTNERS EIN 31-1435470 CONTRACT | Other fees Service code 99 | 33 S. 5TH STREET ZANESVILLE, OH 43701 | $17K |
| AMERICAN HEALTH HOLDING INC. EIN 31-1368946 CONTRACT | Other fees Service code 99 | PO BOX 360142 PITTSBURG, PA 15250 | $10K |
| PHIA GROUP CONSULTING, LLC EIN 04-3504115 CONTRACT | Other fees Service code 99 | PO BOX 499 CANTON, OH 02021 | $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 | 512 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 512 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION A SUBSIDIARY OF SWISS RE GROUP | 514 | $364K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 514 | — |
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.