No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BENEFIT ADMINSTRATORS EIN 31-1188944 PPO SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $1.1M |
| UNITEDHEALTHCARE INSURANCE COMPANY RX SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | 9701 DATA PARK DRIVE MINNETONKA, MN 55343 | $661K |
| PCA EIN 27-0640560 INVESTMENT MANAGEMENT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $93K |
| TONYA BENZ EIN 35-0851694 EMPLOYEE | Employee (plan); Claims processing; Direct payment from the plan Service code 12 | — | $55K |
| KIM WRIGHT EIN 35-0851694 EMPLOYEE | Direct payment from the plan; Claims processing; Employee (plan) Service code 12 | — | $54K |
| LAURA DUKE EIN 35-0851694 EMPLOYEE | Direct payment from the plan; Claims processing; Employee (plan) Service code 12 | — | $53K |
| JACQUELINE NEIBLE EIN 35-0851694 EMPLOYEE | Direct payment from the plan; Employee (plan); Claims processing Service code 12 | — | $52K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 CONSULTANT/ ACTUARY | Actuarial; Direct payment from the plan; Custodial (other than securities) Service code 11 | — | $46K |
| AMY SCHEIBLE EIN 35-0851694 EMPLOYEE | Direct payment from the plan; Employee (plan); Claims processing Service code 12 | — | $41K |
| BOB CADWELL EIN 36-0851694 SALARIED ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | — | $40K |
| LEDBETTER, PARISI & SELLARS EIN 03-0599899 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $39K |
| KATZ, SAPPER & MILLER EIN 35-1090346 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 COMPUTER SERVICES | Consulting (general); Direct payment from the plan Service code 16 | — | $32K |
| SAV-RX RX PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | 224 N. PARK AVENUE FREMONT, NE 68028 | $30K |
| AND CO. EIN 59-3676225 INVESTMENT ADVISORY | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $30K |
| DEROY & DEVEREAUX EIN 38-2251232 INVESTMENT MANAGEMENT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $27K |
| LISA SMITH EIN 35-0851694 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $26K |
| FARR MILLER EIN 52-1979573 INVESTMENT MANAGEMENT | Investment management fees paid directly by plan; Investment management Service code 28 | — | $18K |
| QUEST EIN 93-0880854 INVESTMENT MANAGEMENT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $17K |
| CAROLYN LYONS EIN 35-0851694 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $16K |
| PNC EIN 22-1146430 CUSTODIAN | Direct payment from the plan; Custodial (securities) Service code 19 | — | $13K |
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 | 1,737 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 615 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,356 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,356 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,356 | — |
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.