No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NOVARA TESIJA, PLLC EIN 38-3507129 NONE | Legal Service code 29 | 2000 TOWN CENTER SUITE 2370 SOUTHFIELD, MI 48075 | $126K |
| BENESYS INC EIN 38-2383171 NONE | Contract Administrator Service code 13 | 700 TOWER DRIVE, STE. 300 TROY, MI 48098 | $124K |
| HINES & ASSOCIATES EIN 36-3545085 NONE | Other services Service code 49 | 115 EAST HIGHLAND AVE ELGIN, IL 60120 | $88K |
| FRONTPATH HEALTH COALITION EIN 34-1713951 NONE | Other services Service code 49 | 12875 ECKEL JUNCTION RD PERRYSBURG, OH 43551 | $68K |
| ST. VINCENT MERCY MEDICAL CENTER EIN 34-4428250 NONE | Other services Service code 49 | 2213 CHERRY ST. TOLEDO, OH 43608 | $55K |
| MULTI PLAN, INC. EIN 13-3068979 NONE | Other services Service code 49 | PO BOX 29380 NEW YORK, NY 10087 | $54K |
| PREMIER HEALTHCARE EIN 86-1040704 NONE | Other services Service code 49 | 322 CONGRESS PARK DRIVE DAYTON, OH 45459 | $29K |
| TRUST COMPANY OF TOLEDO EIN 34-1661757 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 1630 TIMBERWOLF DR HOLLAND, OH 43528 | $28K |
| MERCY EMPLOYEE ASSISTANCE PROGRAM EIN 34-4428250 NOE | Other services Service code 49 | 225 PICTORIA DRIVE 320 CINCINNATI, OH 45246 | $24K |
| LUBLINSUSSMAN GROUP EIN 34-1087273 NONE | Accounting (including auditing) Service code 10 | 3166 N. REPUBLIC BLVD TOLEDO, OH 43615 | $22K |
| HIGHLAND & ASSOCIATES EIN 38-3187218 NONE | Other services Service code 49 | 22360 GARRISON AVE DEARBORN, MI 48124 | $22K |
| ASSET HEALTH EIN 65-1258234 NONE | Other services Service code 49 | 2250 BUTTERFIELD DR STE 100 TROY, MI 48084 | $17K |
| STEFANSKY HOLLOWAY & NICHOLS EIN 38-2388845 NONE | Accounting (including auditing) Service code 10 | 22260 HAGGERTY RD SUITE 350 NORTHVILLE, MI 48167 | $8K |
| MARQUETTE ASSOCIATES,INC 36-3485298 | Consulting (general) Service code 16 | 180 N. LASALLE ST., STE 3500 CHICAGO, IL 60604 | $8K |
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 | 1,006 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,006 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,072 | $211K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,072 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.