Filings through .
History & trajectory Charts need 2 or more years. This plan has 9 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingNo prospect flags tripped on this filing.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 24 contracts 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 | 49,195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 368 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,137 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 50,700 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4 | $10 |
| Dental(13 contracts, 13 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 35,962 | $24.9M |
| Vision(2 contracts) | EYEMED | 64,070 | $6.1M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 44,256 | $15.0M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 44,118 | $12.8M |
| Other(6 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 44,256 | $12.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 64,070 | - |
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.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEDGWICK EIN 36-2685608 CONSULTING | Direct payment from the plan; Consulting (general) Service code 16 | — | $1.6M |
| OPTUM EIN 47-0858534 CONSULTING | Direct payment from the plan; Consulting (general) Service code 16 | — | $446K |
| ERNST & YOUNG EIN 34-6565596 CONSULTING | Consulting (general); Direct payment from the plan Service code 16 | — | $372K |
| HEADSPACE, INC. EIN 46-1777570 CONSULTING | Other services; Direct payment from the plan Service code 49 | — | $237K |
| BLANKS PRINTING & IMAGING EIN 75-1156894 COPY/DUPLICATION | Copying and duplicating; Direct payment from the plan Service code 36 | — | $207K |
| WEBMD EIN 93-1270422 CONSULTING | Direct payment from the plan; Consulting (general) Service code 16 | — | $166K |
| THE JELLYVISION LAB, INC. EIN 36-4442819 NONE | Other services; Other fees; Direct payment from the plan Service code 49 | — | $121K |
| ALIGHT SOLUTIONS EIN 82-1061233 INSURANCE SERVICES | Direct payment from the plan; Insurance services Service code 23 | — | $79K |
| FORVIS MAZARS, LLP EIN 44-0160260 ACCOUNTING | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $50K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 ACTUARIAL | Actuarial; Direct payment from the plan Service code 11 | — | $38K |
| ENTERHEALTH EIN 26-3107183 CONSULTING | Consulting (general); Direct payment from the plan Service code 16 | — | $17K |
| NETWORK MEDICAL REVIEW EIN 76-0711128 NONE | Direct payment from the plan; Other services Service code 49 | — | $16K |
| UNUM EIN 01-0278678 CONSULTING | Consulting (general); Direct payment from the plan Service code 16 | — | $12K |
| HAYNES & BOONE LLP EIN 75-1312888 LEGAL | Legal; Direct payment from the plan Service code 29 | — | $11K |
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.
5 contacts
Phone and email for the top hat administrator are on Pro.
9 filings · 2016 to 2024