No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TARGET SYSTEMS COMPUTER SERVICES | Other services Service code 49 | 7819 FREEWAY CIRCLE 440-239-1600 MIDDLEBURG HEIGHTS, OH 44130 | $38K |
| AMERICAN BENEFIT CORPORATION CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 3150 US ROUTE 60 ONA, WV 255459507 | $38K |
| DAWSON INSURANCE ADMINISTRATIVE CONSULTING | Plan Administrator Service code 14 | 1340 DEPOT STREET 440-333-9000 CLEVELAND, OH 441161799 | $38K |
| GOLDSTEIN GRAGEL LLC EIN 26-3575398 LEGAL SERVICES | Legal Service code 29 | 526 SUPERIOR AVE STE 1040 CLEVELAND, OH 44114 | $17K |
| TRAMER, SHORE & ZWICK EIN 34-1736265 AUDITOR | Accounting (including auditing) Service code 10 | 23775 COMMERCE PARK BEACHWOOD, OH 44122 | $11K |
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 | 210 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 44 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | ANTHEM BLUECROSS BLUESHIELD | 279 | $0 |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 279 | $0 |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 290 | $0 |
| Other | ANTHEM LIFE INSURANCE COMPANY | 290 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 290 | — |
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."
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.