No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 06-0303370 NONE | Direct payment from the plan; Claims processing; Non-monetary compensation; Other services; Named fiduciary; Contract Administrator; Float revenue; Participant communication Service code 12 | — | $778K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $134K |
| HEALTH PLAN SYSTEMS EIN 01-0589640 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $89K |
| DELTA DENTAL EIN 94-2761537 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $88K |
| CALIBRE CPA EIN 47-0900880 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $49K |
| DEFRANCE, CONSTANCE EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| WITHUM, SMITH, & BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $45K |
| HILL, CARLA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| CAMPBELL, ALVIS EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $25K |
| CIGNA BEHAVIORAL HEALTH, INC. EIN 41-1648670 NONE | Claims processing; Direct payment from the plan; Participant communication; Contract Administrator Service code 12 | — | $15K |
| KELLY PRESS NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 1701 CABIN DRIVE CHEVERLY, MD 20785 | $10K |
| CAREMARK EIN 95-3382344 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $9K |
| SYSTEMS DESIGN ASSOCIATES, INC. NONE | Direct payment from the plan; Other services Service code 49 | 900 S HIGHWAY DRIVE FENTON, MO 63137 | $8K |
| M&T BANK EIN 16-0538020 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| EYEMED EIN 31-1656473 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $6K |
| STATE STREET BANK EIN 04-1867445 NONE | Distribution (12b-1) fees; Float revenue; Investment management; Custodial (securities); Other fees; Direct payment from the plan Service code 19 | — | $6K |
| CIGNA BEHAVIORAL HEALTH, INC | Contract Administrator; Claims processing; Participant communication Service code 12 | — | $0 |
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 | 11,589 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 842 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,431 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,039 | $139K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 5,450 | $337K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,015 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,450 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.