No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CDS ADMINISTRATORS, INC. PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 5 HOT METAL STREET, SUITE 200 PITTSBURGH, PA 15222 | $281K |
| CONDUENT HR CONSULTING ACTUARY | Actuarial Service code 11 | 120 SOUTH SIXTH STREET, SUITE 2260 MINNEAPOLIS, MN 55042 | $51K |
| MACALA, GORE & PIATT EIN 34-1933033 ATTORNEY | Legal Service code 29 | 601 SOUTH MAIN STREET NORTH CANTON, OH 44720 | $35K |
| WILSON KOZICKI & GWYNN EIN 55-0526247 AUDITOR | Accounting (including auditing) Service code 10 | 32-20TH STREET, SUITE 300 WHEELING, WV 26003 | $33K |
| HEALTH PLAN ADVOCATE MEDICAL CLAIMS ADMIN | Claims processing Service code 12 | 1550 E BELTLINE AVE SE, STE 175 GRAND RAPIDS, MI 49506 | $17K |
| RUBLE INSURANCE EIN 20-4632562 INSURANCE SERVICES | Insurance services Service code 23 | 605 GREENE STREET NEWPORT, OH 45768 | $14K |
| MANNING & NAPIER EIN 16-0095736 INVESTMENT MANAGER | Investment management Service code 28 | 290 WOODCLIFF DRIVE FAIRPORT, NY 14450 | $11K |
| SEGAL ADVISORS EIN 13-1835864 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | PO BOX 4142 CHURCH STREET STATION NEW YORK, NY 10261 | $9K |
| FIFTH THIRD BANK EIN 31-0854433 CUSTODIAN | Custodial (other than securities) Service code 18 | 5050 KINGSLEY DRIVE CINCINNATI, OH 45263 | $9K |
| WEX HEALTH MEDICAL CLAIMS ADMIN | Claims processing Service code 12 | 82 HOPMEADOW STREET SIMSBURRY, CT 06089 | $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 | 576 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 296 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 872 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA HEALTH INSURANCE COMPANY | 296 | $1.5M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 872 | $308K |
| Other | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 872 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 872 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.