No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 THIRD PARTY ADMINISTOR | Participant communication; Accounting (including auditing); Copying and duplicating; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $83K |
| THE SEGAL COMPANY EIN 13-1975125 BENEFIT CONSULTANT | Consulting (general) Service code 16 | — | $57K |
| GREEN, HAINES, SGAMBATI, CO., LPA EIN 34-1224415 ATTORNEY | Legal Service code 29 | — | $20K |
| PNC BANK, NATIONAL ASSOCIATION EIN 22-1146430 INVESTMENT CUSTODIAN | Custodial (securities); Recordkeeping fees Service code 19 | — | $13K |
| PARAMOUNT PREFERRED SOLUTIONS, INC. CLAIMS PROCESSING | Other services Service code 49 | 25001 EMERY RD. STE 300 216-468-0450 CLEVELAND, OH 44128 | $8K |
| FIRST FORMS & SYSTEMS PRINTER | Other fees Service code 99 | 725 BOARDMAN-CANFIELD C4 YOUNGSTOWN, OH 445010849 | $7K |
| YURCHYK & DAVIS CPA'S, INC EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $7K |
| FINDLEY DAVIES, INC EIN 34-1213174 ACTUARY | Actuarial Service code 11 | — | $6K |
| EMDEON BUSINESS SERVICE CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 572490 MURRAY, UT 841572490 | $5K |
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 | 373 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 196 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 569 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 385 | $429K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 385 | — |
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.