No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMINISTRATOR | Participant communication; Named fiduciary; Contract Administrator; Claims processing; Other services; Direct payment from the plan Service code 12 | — | $2.2M |
| PACIFIC INVESTMENT MGMT CO LLC EIN 33-0629048 INVESTMENT MANAGER | Other services; Investment management fees paid directly by plan; Investment management; Investment advisory (plan); Other fees; Investment management fees paid indirectly by plan Service code 27 | — | $236K |
| CIGNA BEHAVIORAL HEALTH INC EIN 41-1648670 CONTRACT ADMINISTRATOR | Direct payment from the plan; Participant communication; Contract Administrator; Other services; Claims processing Service code 12 | — | $154K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-4008324 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $60K |
| TOWERS WATSON DELAWARE INC EIN 53-0181291 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | — | $59K |
| JPMORGAN CHASE BANK NA EIN 13-4994650 TRUSTEE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Trustee (directed); Custodial (securities); Float revenue Service code 19 | — | $30K |
| STATE STREET GLOBAL ADVISOR TRUST EIN 81-4017137 INVESTMENT MANAGER | Investment management fees paid directly by plan; Custodial (securities); Investment management fees paid indirectly by plan; Custodial (other than securities); Investment management Service code 18 | — | $22K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7,030 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,030 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AETNA LIFE INSURANCE CO. | 7,030 | $5.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,030 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.