No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERITAS LIFE INSURANCE CORP. EIN 47-0098400 NONE | Insurance agents and brokers; Sub-transfer agency fees; Investment advisory (plan); Other commissions Service code 22 | — | $21K |
| NATIONWIDE RECORDKEEPER | Contract Administrator; Custodial (other than securities); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | ONE NATIONWIDE PLAZA COLUMBUS, OH 43215 | $16K |
| TAX FAVORED BENEFITS, INC. THIRD PARTY ADMINISTRATO | Redemption fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Account maintenance fees Service code 15 | PO BOX 7190 OVERLAND PARK, KS 66207 | $8K |
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 | 335 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 40 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 377 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMERITAS LIFE INSURANCE CORPORATION | 8 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8 | — |
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."
No prospect flags tripped on this filing.