Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingNo prospect flags tripped on this filing.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 16 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 13,938 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 13,938 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | PARAMOUNT HEALTHCARE | 234 | $4.7M |
| Dental | AETNA LIFE INSURANCE COMPANY | 29 | $372K |
| Vision(7 contracts, 2 carriers) | EYEMED VISION CARE | 11,698 | $1.4M |
| Life insurance(2 contracts) | SECURIAN LIFE INSURANCE COMPANY | 20,860 | $3.5M |
| Other(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 13,854 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 20,860 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH CARE SERVICE CORPORATION EIN 36-1236610 NONE | Direct payment from the plan; Other fees; Contract Administrator Service code 13 | — | $4.1M |
| CAREMARK EIN 05-0340626 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $1.4M |
| BUSINESSOLVER.COM EIN 42-1503807 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.3M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $957K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 NONE | Direct payment from the plan; Participant communication; Contract Administrator Service code 13 | — | $835K |
| SEDGWICK SERVICES EIN 36-2685608 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $576K |
| CIGNA HEALTH AND LIFE INS. COMPANY EIN 59-1031071 NONE | Other services; Non-monetary compensation; Participant communication; Contract Administrator; Direct payment from the plan; Claims processing; Float revenue Service code 12 | — | $402K |
| DELTA DENTAL EIN 36-2612058 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $275K |
| MAGELLAN BEHAVIORAL HEALTH EIN 52-2135463 NONE | Direct payment from the plan; Contract Administrator; Other services Service code 13 | — | $213K |
| CARRUM HEALTH, INC. NONE | Direct payment from the plan; Contract Administrator Service code 13 | 100 1ST STREET STE 350 SAN FRANCISCO, CA 94105 | $184K |
| THE HARTFORD EIN 06-0838648 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $63K |
| BELL LITHO EIN 36-2550923 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $50K |
| CROWE LLP EIN 30-1506626 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $40K |
| EYEMED VISION CARE LLC EIN 36-2136262 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $10K |
| ANDERSON TAX NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 71 SOUTH WACKER #2600 CHICAGO, IL 60606 | $7K |
| JPMORGAN CHASE BANK, NA EIN 13-4994650 NONE | Float revenue; Trustee (directed); Investment management fees paid indirectly by plan; Securities brokerage commissions and fees; Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
7 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025