No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 06-0303370 NONE | Non-monetary compensation; Contract Administrator; Float revenue; Claims processing; Named fiduciary; Direct payment from the plan; Participant communication; Other services Service code 12 | — | $3.4M |
| DELTA DENTAL EIN 94-2761537 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $369K |
| DEFRANCE, CONSTANCE EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $175K |
| HEALTH PLAN SYSTEMS EIN 01-0589640 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $148K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $130K |
| HILL, CARLA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $121K |
| TIERNEY, JAMES EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| CAMPBELL, ALVIS EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $100K |
| CIGNA BEHAVIORAL HEALTH INC EIN 41-1648670 NONE | Contract Administrator; Claims processing; Participant communication; Direct payment from the plan Service code 12 | — | $99K |
| AUGUSTINE-RAINS, VIRGINIA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| WRIGHT-HEWITT, GEORGIA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| FAUNTLEROY, MONICA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| WITHUMSMITH+BROWN PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $80K |
| WILLIAMS, BARBARA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| BEARDSLEY, BRAD EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| GRAY, CATHERINE EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| BARNES, TINA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| CALIBRE CPA EIN 47-0900880 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $77K |
| TOMBAKOGLU, DERYA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| WILLIAMS, CHANDRA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| KELLY PRESS NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1701 CABIN DRIVE CHEVERLY, MD 20785 | $55K |
| BROWN, KAREN EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| GROH & ASSOCIATES INC EIN 36-4662300 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $50K |
| CAREMARK EIN 95-3382344 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $40K |
| INFLUENCE LEADERSHIP INC EIN 26-1734935 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $36K |
| PASILLAS, MONICA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| EYEMED EIN 31-1656473 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $26K |
| DATA CANOPY COLOCATION EIN 27-0404042 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $21K |
| PART D ADVISORS EIN 20-2595200 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $17K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $16K |
| SECOVA INC EIN 33-0954754 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $14K |
| LINEA SOLUTIONS EIN 95-4723968 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $11K |
| NEW TARGET INC EIN 54-2017014 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $11K |
| PAYCOM NONE | Other services; Direct payment from the plan Service code 49 | 7501 W MEMORIAL ROAD OKLAHOMA CITY, OK 73142 | $8K |
| KEHOE, AMY EIN 36-6562520 PLAN TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $5K |
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 | 12,298 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 868 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 13,166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 9,818 | $0 |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,013 | $152K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 6,390 | $397K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 993 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,818 | — |
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.