No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES INC. EIN 41-1289245 THIRD PARTY ADMIN | Claims processing; Other services Service code 12 | — | $297K |
| SEABURY AND SMITH (MARSH) EIN 13-3109248 THIRD PARTY ADMIN | Claims processing Service code 12 | — | $162K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 THIRD PARTY ADMIN | Claims processing Service code 12 | — | $59K |
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 THIRD PARTY ADMIN | Claims processing Service code 12 | — | $31K |
| OPTUM RX EIN 11-2581812 THIRD PARTY ADMIN | Claims processing Service code 12 | — | $10K |
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 | 1,863 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,863 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.