See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 2 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HM LIFE INSURANCE COMPANY EIN 06-1041332 | Insurance services Service code 23 | P.O. BOX 535061 PITTSBURGH, PA 152535061 | $1.8M |
| PLANSOURCE BENEFITS ADMINISTRATION EIN 55-0800751 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | 101 S. GARLAND AVE., SUITE 203 ORLANDO, FL 32801 | $528K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | ONE DELTA DRIVE MECHANICSBURG, PA 17055 | $362K |
| BUSINESSOLVER.COM, INC. EIN 42-1503807 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | 1025 ASHWORTH ROAD, SUITE 101 WEST DES MOINES, IA 50265 | $62K |
| CVS HEALTH EIN 05-0340626 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | 4909 JOHN TICER DRIVE ALEXANDRIA, VA 22304 | $14K |
| ADP, LLC EIN 22-1467904 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | ONE ADP BOULEVARD ROSELAND, NJ 07068 | $5K |
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 | 16,781 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 210 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 16,991 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 57 | $11K |
| Vision | VISION BENEFITS OF AMERICA | 9,338 | $276K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,338 | — |
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."
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported. Worth a call.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.