Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary broker changed. The plan may listen to a new pitch.
Broker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Life | Life | |
Broker: Pacific Resources Benefit Advisors LTD | LTD | |
HealthRxDentalOther | HealthRxDentalOther | |
Vision | Vision | |
HealthRxHMO | HealthRxHMO | |
Broker: Mercer Other | Other |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 6 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 25,405 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 304 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 25,709 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 106 | $3.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 106 | $3.6M |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 45,548 | $3.3M |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 25,846 | $10.5M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 23,809 | $4.8M |
| Prescription drug(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 106 | $3.8M |
| Other(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 19,378 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 45,548 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Prudential Insurance Company of America | |
Carrier: Ace American Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 NONE KNOWN | Contract Administrator; Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | — | $10.2M |
| ALIGHT SOLUTIONS LLC EIN 82-1061233 NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $2.8M |
| LIMEADE INC EIN 06-1771116 NONE KNOWN | Other services; Direct payment from the plan Service code 49 | — | $1.4M |
| CVS PHARMACY EIN 05-0340626 NONE KNOWN | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $1.2M |
| LYRA HEALTH, INC. EIN 47-2935915 NONE KNOWN | Other services; Claims processing; Direct payment from the plan Service code 12 | — | $655K |
| INCLUDED HEALTH EIN 45-3580052 NONE KNOWN | Direct payment from the plan; Consulting (general); Other services; Other fees Service code 16 | — | $272K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 NONE KNOWN | Trustee (bank, trust company, or similar financial institution); Trustee (directed); Other services; Direct payment from the plan; Custodial (securities); Float revenue Service code 19 | — | $181K |
| ERNST & YOUNG LLP EIN 34-6565596 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $80K |
| ELI LILLY AND COMPANY EIN 35-0470950 PLAN SPONSOR | Direct payment from the plan; Plan Administrator Service code 14 | — | $70K |
| PLANTE & MORAN PLLC EIN 33-1498605 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $35K |
| AON CONSULTING, INC. EIN 22-2232264 NONE KNOWN | Actuarial; Direct payment from the plan Service code 11 | — | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
3 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025