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 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 |
|---|---|---|
Broker: American Benefits & Comp Systems Life | Life |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,821 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,821 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | HARTFORD LIFE AND ACCIDENT | 5,819 | $9.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,819 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: Hartford Life and Accident |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VA EIN 54-0357120 CONTRACT ADMINISTRATOR | Direct payment from the plan; Non-monetary compensation; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Insurance agents and brokers; Other commissions; Other services; Float revenue Service code 12 | — | $1.6M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMINISTRATOR | Participant communication; Contract Administrator; Other services; Named fiduciary; Direct payment from the plan; Claims processing Service code 12 | — | $172K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-4008324 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $152K |
| JPMORGAN CHASE BANK NA EIN 13-4994650 TRUSTEE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Custodial (securities); Trustee (directed); Float revenue Service code 19 | — | $124K |
| PACIFIC INVESTMENT MGMT CO LLC EIN 33-0629048 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $101K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | — | $62K |
| LYRA HEALTH EIN 47-2935915 CONTRACT ADMINISTRATOR | Direct payment from the plan; Other services Service code 49 | — | $56K |
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017137 INVESTMENT MANAGER | Investment management; Investment management fees paid indirectly by plan; Custodial (other than securities); Custodial (securities); Investment management fees paid directly by plan Service code 18 | — | $9K |
| ANDERSEN TAX LLC EIN 26-1437743 ACCOUNTING | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $7K |
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.
4 contacts
Phone and email for the actuary are on Pro.
9 filings · 2017 to 2025