No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ELIXIR CRAFTED RX SOLUTIONS EIN 33-0567651 PHARMACY BENEFIT MNGMT | Other fees; Claims processing Service code 12 | — | $227K |
| WILCOX FINANCIAL SVCS INC EIN 91-1858491 BROKER | Other commissions Service code 55 | P.O. BOX 26 MCCOOK, NE 69001 | $50K |
| WPPA DBA PROVIDRS CARE NETWORK EIN 48-0959093 PPO NETWORK - KANSAS | Other fees Service code 99 | — | $37K |
| PARTNERS HEALTH ALLIANCE EIN 47-2739228 UTILIZATION REVIEW | Claims processing Service code 12 | — | $18K |
| THE PHIA GROUP, LLC EIN 04-3504115 LEGAL DEFENSE | Legal Service code 29 | — | $15K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NON-NETWORK REPRICING | Claims processing Service code 12 | — | $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 | 214 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BENEFITS MANAGEMENT, LLC | 214 | $0 |
| Dental(2 contracts, 2 carriers) | BENEFITS MANAGEMENT, LLC | 214 | $0 |
| Other(2 contracts, 2 carriers) | BENEFITS MANAGEMENT, LLC | 214 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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.