No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CDS ADMINISTRATORS, INC. PLAN ADMINISTRATOR | Other services; Plan Administrator Service code 14 | 5 HOT METAL STREET, SUITE 200 PITTSBURGH, PA 15222 | $305K |
| CONDUENT HR CONSULTING ACTUARY | Actuarial Service code 11 | 120 SOUTH SIXTH STREET, SUITE 2260 MINNEAPOLIS, MN 55042 | $55K |
| KOZICKI HUGHES TICKERHOOF PLLC EIN 55-0526247 AUDITOR | Accounting (including auditing) Service code 10 | 32-20TH STREET, SUITE 300 WHEELING, WV 26003 | $30K |
| MACALA & PIATT EIN 34-1933033 ATTORNEY | Legal Service code 29 | 601 SOUTH MAIN STREET NORTH CANTON, OH 44720 | $26K |
| RUBLE INSURANCE AGENCY INSURANCE AGENT | Insurance agents and brokers Service code 22 | PO BOX 65 NEWPORT, OH 45768 | $13K |
| BMI AUDIT SERVICES AUDITOR | Accounting (including auditing) Service code 10 | 3454 DOUGLAS ROAD SOUTH BEND, IN 46635 | $11K |
| SEGAL ADVISORS EIN 13-1835864 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | PO BOX 4142 CHURCH STREET STATION NEW YORK, NY 10261 | $10K |
| MANNING & NAPIER EIN 16-0095736 INVESTMENT MANAGER | Investment management Service code 28 | 290 WOODCLIFF DRIVE FAIRPORT, NY 14450 | $9K |
| WEX HEALTH MEDICAL CLAIMS ADMIN | Claims processing Service code 12 | 82 HOPMEADOW STREET SIMSBURRY, CT 06089 | $5K |
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 | 625 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 221 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 846 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA HEALTH INSURANCE COMPANY | 221 | $1.4M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 846 | $477K |
| Other | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 846 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 846 | — |
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.