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 3 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.
See commissions and fees for 2 broker rows. $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.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE. HARTFORD, CT 06156 | $1.9M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 3RD PARTY SERVICE PROVIDE | Contract Administrator; Claims processing Service code 12 | — | $239K |
| DIA-TEC CLOUD 3RD PARTY SERVICE PROVIDE | Contract Administrator Service code 13 | 2910 S 84TH ST. OMAHA, NE 68124 | $129K |
| JELLYVISION LAB, INC. 3RD PARTY SERVICES | Contract Administrator Service code 13 | 848 W EASTMAN ST. SUITE 104 CHICAGO, IL 60642 | $91K |
| OPTUM FINANCIAL SERVICES 3RD PARTY SERVICE PROVIDE | Contract Administrator; Claims processing Service code 12 | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $70K |
| AETNA EMPLOYEE ASSISTANCE PROGRAM EAP ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $55K |
| OCCUVAX 3RD PARTY SERVICE | Contract Administrator Service code 13 | 13308 CHANDLER ROAD SUITE 3701 OMAHA, NE 68138 | $42K |
| LUTZ & COMPANY, PC EIN 47-0625816 AUDITOR | Accounting (including auditing) Service code 10 | — | $37K |
| WILLIS TOWER WATSON US LLC 3RD PARTY SERVICE | Contract Administrator Service code 13 | 8400 NORMANDALE LAKE BOULEVARD SUITE 1700 MINNEAPOLIS, MN 554373837 | $14K |
| KOHLL'S PHARMACY & HOMECARE 3RD PARTY SERVICE | Contract Administrator Service code 13 | 12759 Q STREET OMAHA, NE 68132 | $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 | 4,443 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 91 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,534 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORP | 5,836 | $583K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 4,443 | $2.0M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 4,443 | $2.0M |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 3,603 | $1.3M |
| Other | HARTFORD LIFE AND ACCIDENT | 4,443 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,836 | — |
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 primary carrier changed from the prior filing. The plan is willing to move. Re-pitch on the next cycle.