No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 06-0303370 NONE | Named fiduciary; Other services; Contract Administrator; Participant communication; Float revenue; Non-monetary compensation; Direct payment from the plan; Claims processing Service code 12 | — | $2.3M |
| DELTA DENTAL EIN 94-2761537 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $310K |
| DEFRANCE, CONSTANCE EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $184K |
| LOSTOSKI, STEVEN EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $158K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general) Service code 16 | — | $138K |
| HEALTH PLAN SYSTEMS EIN 01-0589640 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $121K |
| HILL, CARLA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| WRIGHT-HEWITT, GEORGIA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| CAMPBELL, ALVIS EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| AUGUSTINE-RAINS, VIRGINIA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| TIERNEY, JAMES EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| FAUNTLEROY, MONICA EIN 36-6562520 EMPLOYEE | Employee (plan) Service code 30 | — | $77K |
| BOND BEEBE, P.C. EIN 52-1044197 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $72K |
| WILLIAMS, BARBARA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| BARNES, TINA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| BEARDSLEY, BRAD EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| GRAY, CATHERINE EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| PART D ADVISORS EIN 20-2595200 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $38K |
| CAREMARK EIN 95-3382344 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $36K |
| AON NONE | Consulting fees; Direct payment from the plan Service code 50 | 5012 HAMPDEN LANE BETHESDA, MD 20814 | $24K |
| SYSTEM DESIGN ASSOCIATES NONE | Direct payment from the plan; Other services Service code 49 | 900 S HIGHWAY DRIVE FENTON, MO 63137 | $22K |
| M&T BANK EIN 16-0538020 NONE | Direct payment from the plan; Other services Service code 49 | — | $19K |
| ALL COVERED NONE | Consulting (general); Direct payment from the plan Service code 16 | 1595 SPRING HILL ROAD SUITE 400 VIENNA, VA 22182 | $16K |
| EYEMED VISION CARE EIN 31-1656473 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $15K |
| SLEVIN & HART, P.C. EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| KELLY PRESS NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1701 CABIN DRIVE CHEVERLY, MD 20785 | $11K |
| STATE STREET BANK EIN 04-1867445 NONE | Direct payment from the plan; Other fees; Custodial (securities); Investment management Service code 19 | — | $10K |
| PAYCHEX EIN 16-1124166 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $7K |
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 | 9,913 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,005 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,918 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,014 | $127K |
| Stop-loss / reinsurancereinsurance | AMALGAMTED LIFE INSURANCE COMPANY | 3,874 | $251K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 940 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,874 | — |
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.