No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KC EIN 43-1257251 PPO | Claims processing; Direct payment from the plan Service code 12 | — | $392K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 CONTRACT ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $127K |
| ARNOLD NEWBOLD WINTER & JACKSON PC EIN 43-6039075 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $87K |
| UNITED ACTUARIAL SERVICES, INC. EIN 35-2156428 ACTUARY | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $44K |
| CONSTRUCTION BENEFIT AUDIT CORP EIN 43-1244218 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $40K |
| LDI INTEGRATED PHARMACY SERVICES EIN 43-0912223 PRESCRIPTION ADMIN. | Claims processing; Direct payment from the plan Service code 12 | — | $26K |
| COMMERCE BANK EIN 48-0962626 CUSTODIAN-INVESTMENT MANG | Custodial (securities); Direct payment from the plan; Shareholder servicing fees; Investment management Service code 19 | — | $20K |
| PIOTROWSKI & GEBIS AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 3315 W ALGONQUIN RD 300 ROLLING MEADOWS, IL 60008 | $19K |
| PREFERRED HEALTH PROFESSIONALS EIN 20-1665464 PPO | Direct payment from the plan; Claims processing Service code 12 | — | $11K |
| EMPLOYEE FRINGES AUDIT COMPANY EIN 42-1122328 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
| NBPC EIN 43-1122456 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $8K |
| MITCHELL CAPITAL MANAGEMENT COMPANY EIN 48-1032366 INVESTMENT MANAGER FEES | Direct payment from the plan; Investment management Service code 28 | — | $6K |
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 | 804 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 88 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 892 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 935 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 935 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.