No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UBS GLOBAL ASSET MANAGEMENT 3RD PARTY | Investment management fees paid directly by plan; Investment management Service code 28 | LOCK BOX 23387 CHICAGO, IL 60673 | $1.3M |
| HORIZON BCBS EIN 22-0999690 3RD PARTY | Contract Administrator; Insurance agents and brokers Service code 13 | — | $1.0M |
| FRANKLIN ADVISORS 3RD PARTY | Investment management; Investment management fees paid directly by plan Service code 28 | 1 FRANKLIN PKWY, BLDG 970, 3RD FL SAN MATEO, CA 94403 | $195K |
| CALLAN ASSOCIATES EIN 94-2192581 3RD PARTY | Investment advisory (plan) Service code 27 | — | $114K |
| WELLS FARGO EIN 94-1347393 TRUSTEE | Trustee (bank, trust company, or similar financial institution); Custodial (other than securities) Service code 18 | — | $50K |
| AETNA EIN 06-6033492 3RD PARTY | Contract Administrator; Claims processing Service code 12 | — | $21K |
| KREISCHER MILLER EIN 23-1980475 3RD PARTY | Accounting (including auditing) Service code 10 | — | $20K |
| A PLUS LETTERS EIN 22-2767840 3RD PARTY | Other fees Service code 99 | — | $16K |
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 | 2,496 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | EYEMED VISION CARE | 94 | $4K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 567 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 567 | — |
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."
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.