No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXPRESS SCRIPTS EIN 43-1420563 PRESCRIPTION SERVICES | Other services; Direct payment from the plan Service code 49 | — | $537K |
| WELLRITHMS REPRICING SERVICES | Direct payment from the plan; Consulting (general) Service code 16 | 3718 SW CONDOR AVE PORTLAND, OR 97239 | $412K |
| INCLUDED HEALTH INC BENEFIT CONSULTING | Direct payment from the plan; Consulting (general) Service code 16 | ONE CALIFORNIA ST., STE 2300 SAN FRANCISCO, CA 94111 | $319K |
| AMERICAN HEALTH HOLDING CASE MANAGEMENT SERVICES | Direct payment from the plan; Other services Service code 49 | 7400 W. CAMPUS RD., F-510 NEW ALBANY, OH 43054 | $297K |
| FRONTPATH HEALTH COALITION BENEFIT REPRICING | Direct payment from the plan; Other services Service code 49 | 12875 ECKEL JUNCTION ROAD, STE. B PERRYSBURG, OH 43551 | $190K |
| RENALOGIC DIALYSIS REPRICING SERV | Direct payment from the plan; Other services Service code 49 | P.O. BOX 718 SANDPOINT, ID 83864 | $164K |
| BRIDEGWAY BENEFIT TECH EIN 23-1282079 IT CONSULTANTS | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3000 SOUTH LENOLA ROAD MAPLE SHADE, NJ 08052 | $116K |
| UNITED ACTUARIAL SERVICES ACTUARY | Actuarial; Direct payment from the plan Service code 11 | 11590 N MERIDIAN ST., STE 610 CARMEL, IN 46032 | $107K |
| SHUMAKER, LOOP & KENDRICK, LLP EIN 34-4439491 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $90K |
| DELTA DENTAL OF OHIO EIN 31-0685339 BENEFIT ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $85K |
| COMPUTOL INC EIN 34-1645631 IT SERVICES | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $76K |
| CHANGE HEALTHCARE POSATGE AND MAILING SERV | Claims processing; Direct payment from the plan Service code 12 | P.O. BOX 572490 MURRAY, UT 841072490 | $61K |
| MSPC CPAS & ADVISORS, P.C. EIN 22-2951202 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $50K |
| TRILOGY CONSULTING GROUP INC CLAIMS AUDIT SERVICES | Consulting (general); Direct payment from the plan Service code 16 | 2021 MIDWEST RD., STE 200 OAK BROOK, IL 60523 | $37K |
| FIFTH THIRD BANK EIN 31-0854433 INVESTMENT CUSTODIAN | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $35K |
| PRISM HEALTHCARE RESOURCES INC BENEFIT CONSULTING | Other services; Direct payment from the plan Service code 49 | 39280 RIVERCREST AVENUE HARRISON TOWNSHIP, MI 48045 | $30K |
| ARMSRXLLC PHARMACY CONSULTING | Other services; Direct payment from the plan Service code 49 | 105 DOWN COURT WINDERMERE, FL 34786 | $23K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 36-4291971 INVESTMENT ADVISOR | Investment management fees paid directly by plan Service code 51 | — | $21K |
| EYE MED VISION SERVICES | Direct payment from the plan; Other services Service code 49 | 4000 LUXOTICCA PL MASON, OH 45040 | $18K |
| MEDICAL REVIEW INSTITUTE OF AMERICA UTILIZATION MANAGEMENT | Consulting (general); Direct payment from the plan Service code 16 | 2875 SOUTH DOCKER LAKE DR., STE 300 SALT LAKE CITY, UT 84119 | $7K |
| DELAWARE VALLEY HEALTH CARE COALITI | Insurance agents and brokers Service code 22 | — | $0 |
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 | 1,805 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 790 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,595 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(4 contracts) | EYE MED | 4,670 | $249K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,741 | $110K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,905 | $1.4M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,741 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,670 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.