No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRUDENTIAL INSURANCE CO. EIN 22-1211670 NONE KNOWN | Insurance agents and brokers; Investment management fees paid directly by plan; Shareholder servicing fees; Direct payment from the plan; Insurance services; Investment management; Other investment fees and expenses Service code 22 | — | $2.9M |
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 NONE KNOWN | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other services Service code 12 | — | $1.4M |
| ELI LILLY AND COMPANY EIN 35-0470950 PLAN SPONSOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $42K |
| PLANTE & MORAN PLLC EIN 38-1357951 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| ERNST & YOUNG LLP EIN 34-6565596 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $36K |
| HMH CONSULTING EIN 56-2559267 NONE KNOWN | Direct payment from the plan; Consulting (general) Service code 16 | — | $32K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 NONE KNOWN | Direct payment from the plan; Custodial (securities); Trustee (bank, trust company, or similar financial institution); Float revenue; Trustee (directed); Other services Service code 19 | — | $25K |
| AON CONSULTING, INC. EIN 22-2232264 NONE KNOWN | Direct payment from the plan; Actuarial Service code 11 | — | $18K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10,758 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 828 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 11,586 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 3,677 | $300K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,677 | — |
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.