Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthStop-loss | HealthStop-loss |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 1 contract with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 13 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 13 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE INS CO | 0 | $20K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INS CO | 0 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LUCENT HEALTH SOLUTIONS LLC EIN 39-1997579 CLAIMS ADMIN | Float revenue; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Other services; Named fiduciary; Participant communication; Claims processing Service code 12 | — | $6K |
| THE PLEXUS GROUP BROKER | Float revenue; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Other services; Named fiduciary; Participant communication; Claims processing Service code 12 | 21805 W FIELD PKWY STE 300 DEER PARK, IL 60010 | $3K |
| MULTIPLAN INC EIN 13-3068979 HST FEE | Participant communication; Other services; Claims processing; Named fiduciary; Non-monetary compensation; Direct payment from the plan; Float revenue; Contract Administrator Service code 12 | — | $2K |
| LUCENT HEALTH CARE CONCIERGE EIN 39-1997579 LCHM FEE | Float revenue; Non-monetary compensation; Claims processing; Direct payment from the plan; Participant communication; Named fiduciary; Other services; Contract Administrator Service code 12 | — | $888 |
| LUCENT HEALTH CARE CORE SVC EIN 39-1997579 LHCM FEE | Contract Administrator; Participant communication; Direct payment from the plan; Other services; Float revenue; Non-monetary compensation; Claims processing; Named fiduciary Service code 12 | — | $761 |
| LUCENT HEALTH CARE MANAGEMENT EIN 39-1997579 LCHM FEE | Contract Administrator; Other services; Named fiduciary; Direct payment from the plan; Non-monetary compensation; Claims processing; Participant communication; Float revenue Service code 12 | — | $609 |
| CIGNA EIN 82-4991898 PPO ACCESS | Claims processing; Float revenue; Named fiduciary; Participant communication; Non-monetary compensation; Direct payment from the plan; Contract Administrator; Other services Service code 12 | — | $286 |
| HEALTHSMART PREFERRED EIN 75-2727437 PPO ACCESS | Participant communication; Named fiduciary; Claims processing; Other services; Contract Administrator; Direct payment from the plan; Non-monetary compensation; Float revenue Service code 12 | — | $120 |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025