No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BUTLER HEALTHCORP INC EIN 42-1403200 DIVISION OF EMPLOYER | Other services Service code 49 | — | $166K |
| SELF INSURED SERVICES COMPANY EIN 42-1144827 DIVISION OF EMPLOYER | Claims processing; Direct payment from the plan Service code 12 | — | $131K |
| CIGNA(CONNECTICUT GENERAL LIFE) EIN 59-1031071 PPO NETWORK | Other services Service code 49 | — | $20K |
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 | 796 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 796 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 844 | $41K |
| Stop-loss / reinsurancereinsurance | STANDARD SECURITY LIFE INSURANCE | 452 | $435K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 844 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.