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; Contract Administrator; Float revenue; Participant communication Service code 12 | — | $3.4M |
| DELTA DENTAL EIN 94-2761537 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $348K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Consulting (general) Service code 11 | — | $220K |
| BROWN, KAREN EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $143K |
| HEALTH PLAN SYSTEMS EIN 01-0589640 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $113K |
| HILL, CARLA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| CIGNA BEHAVIORAL HEALTH, INC EIN 41-1648670 NONE | Claims processing; Participant communication; Direct payment from the plan; Contract Administrator Service code 12 | — | $106K |
| TIERNEY, JAMES EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| AUGUSTINE-RAINS, VIRGINIA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| FAUNTLEROY, MONICA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| LINEA SOLUTIONS EIN 95-4723968 NONE | Direct payment from the plan Service code 50 | — | $85K |
| BEARDSLEY, BRAD EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $76K |
| WILLIAMS, BARBARA EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| BARNES, TINA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| GRAY, CATHERINE EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| WILLIAMS, CHANDRA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| CAMPBELL, ALVIS EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $58K |
| DEAVER, SHANNON EIN 36-6562520 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $56K |
| ROSS, FREDRICK EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| PASILLAS, MONICA EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $51K |
| PART D ADVISORS EIN 20-2595200 NONE | Consulting (general) Service code 16 | — | $50K |
| HIGGINBOTTHAM, KISSI EIN 36-6562520 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| CAREMARK EIN 95-3382344 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $44K |
| KELLY PRESS NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 1701 CABIN DRIVE CHEVERLY, MD 20785 | $37K |
| DATA CANOPY EIN 27-0404042 NONE | Accounting (including auditing) Service code 10 | — | $21K |
| EYEMED EIN 31-1656473 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $12K |
| DOYLE PRINTING NONE | Direct payment from the plan; Other services Service code 49 | 5206 46TH AVENUE HYATSVILLE, MD 20781 | $12K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $10K |
| SLEVIN & HART EIN 52-1708613 NONE | Legal Service code 29 | — | $8K |
| PAYCHEX EIN 16-1124166 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| PAYCOM NONE | Other services; Direct payment from the plan Service code 49 | 7501 W MEMORIAL ROAD OKLAHOMA CITY, OK 73142 | $8K |
| INFLUENCE LEADERSHIP EIN 26-1734935 NONE | Consulting (general) Service code 16 | — | $5K |
| XO COMMUNICATIONS EIN 91-2019476 NONE | Direct payment from the plan Service code 50 | — | $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 | 12,314 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 847 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 13,161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 9,248 | $0 |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,066 | $183K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 7,149 | $447K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,051 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,248 | — |
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.