No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MONTANA EIN 81-0216685 PLAN ADMINISTRATOR/SERVIC | Contract Administrator Service code 13 | PO BOX 4309 HELENA, MT 59604 | $334K |
| ACTUARIES NORTHWEST EIN 20-4303821 ACTUARY AND UNDERWRITING | Actuarial Service code 11 | 4570 167TH AVE SE ISSAQUAH, WA 98027 | $142K |
| CROWLEY FLECK PLLP EIN 81-0122795 ATTORNEY | Legal Service code 29 | 490 N 31ST ST STE 500 BILLINGS, MT 591032529 | $120K |
| MMAHCPT SPONSOR ORG INC EIN 45-2078503 PLAN SPONSOR | Other services Service code 49 | 2021 11TH AVE SUITE 3 HELENA, MT 59601 | $87K |
| MEDIMPACT ADMINISTATION FEES | Contract Administrator; Claims processing Service code 12 | 10181 SCRIPPS GATEWAY COURT SAN DIEGO, CA 92131 | $29K |
| J. BRUCE ROBERTSON TRUSTEE CHAIRMAN | Trustee (individual) Service code 20 | 935 HIGHLAND BLVD STE 216 BOZEMAN, MT 59715 | $24K |
| BRAACH ACCOUNTING SERVICE, PC EIN 20-2600984 ACCOUNTING & BOOKKEEPING | Accounting (including auditing) Service code 10 | 815 E FRONT ST 3 MISSOULA, MT 59807 | $11K |
| AMATICS EIN 46-3057681 FINANCIAL STATEMENT AUDIT | Accounting (including auditing) Service code 10 | 220 WEST LAMME SUITE 3A BOZEMAN, MT 59715 | $7K |
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 | 931 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | TRANSAMERICA LIFE | 1,793 | $394K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,793 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.