No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERCY EIN 43-1560263 EMPLOYEE MEDICAL SERVICES | Other services Service code 49 | — | $202K |
| MED-PAY INC. EIN 43-1318969 PLAN ADMINISTRATOR | Claims processing Service code 12 | — | $70K |
| NEW DIRECTIONS BEHAVIORAL HEALTH EIN 43-1698690 EMPLOYEE ASSIST ADMIN FEE | Other services Service code 49 | — | $19K |
| UNITED CLAIM SOLUTIONS EIN 20-0908354 PPO ACCESS FEE | Other services Service code 49 | — | $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 | 605 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 613 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIRIUS AMERICA INSURANCE COMPANY | 0 | $249K |
| Life insurance | UNION SECURITY INSURANCE COMPANY | 374 | $102K |
| Other | UNION SECURITY INSURANCE COMPANY | 374 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 374 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.