No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PAYDHEALTH MEDICAL CLAIMS ADMIN | Claims processing Service code 12 | 4001 MCEWEN STE DALLAS, TX 75244 | $121K |
| CDS ADMINISTRATORS, INC. OTHER SERVICES (POSTAGE) | Plan Administrator; Other services Service code 14 | 5 HOT METAL STREET, SUITE 200 PITTSBURGH, PA 15222 | $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 |
| BAIRD INVESTMENT MANAGER | Investment management fees paid indirectly by plan Service code 52 | P.O. BOX 0672 MILWAUKEE, WI 532010672 | $0 |
| BUCK CONSULTING ACTUARY | Actuarial Service code 11 | 485 LEXINGTON AVE 10TH FLOOR NEW YORK CITY, NY 10017 | $0 |
| KOZICKI HUGHES TICKERHOOF PLLC EIN 55-0526247 AUDITOR | Accounting (including auditing) Service code 10 | 32-20TH STREET, SUITE 300 WHEELING, WV 26003 | $0 |
| MACALA & PIATT EIN 34-1933033 ATTORNEY | Legal Service code 29 | 601 SOUTH MAIN STREET NORTH CANTON, OH 44720 | $0 |
| RUBLE INSURANCE AGENCY INSURANCE AGENT | Insurance agents and brokers Service code 22 | PO BOX 65 NEWPORT, OH 45768 | $0 |
| WEX HEALTH MEDICAL CLAIMS ADMIN | Claims processing Service code 12 | 82 HOPMEADOW STREET SIMSBURRY, CT 06089 | $0 |
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 | 562 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 268 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 830 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTH CARE (LABOR FIRST) | 268 | $888K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | 830 | $499K |
| Other | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 830 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 830 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.