No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX EIN 33-0441200 PHARMACY BENEFIT MGMT | Other fees; Float revenue; Claims processing; Direct payment from the plan Service code 12 | 2300 MAIN STREET IRVINE, CA 92614 | $23.2M |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | 2801 HOOVER RD STEVENS POINT, WI 54481 | $267K |
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 THIRD PARTY ADMINSTRATOR | Contract Administrator; Claims processing Service code 12 | 1350 DEMING WAY #300 MIDDLETON, WI 53562 | $102K |
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 | 9,943 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 410 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 10,353 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES | 20,697 | $5.6M |
| Vision(3 contracts, 2 carriers) | QUAD GRAPHICS DRESSWEAR | 17,234 | $747K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 15,761 | $4.1M |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 9,667 | $3.1M |
| Other(6 contracts, 4 carriers) | ANTHEM INSURANCE COMPANIES | 20,697 | $11.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 20,697 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.