No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FRINGE BENEFIT SERVICES, INC EIN 51-0210922 NONE | Plan Administrator Service code 14 | — | $242K |
| CIGNA EIN 59-1031071 NONE | Other services; Float revenue; Direct payment from the plan; Contract Administrator; Participant communication; Claims processing; Non-monetary compensation Service code 12 | — | $238K |
| THE SEGAL COMPANY INC. EIN 94-1503999 NONE | Actuarial Service code 11 | — | $72K |
| ROBEIN, URANN, SPENCER, PICARD EIN 72-0999672 NONE | Legal Service code 29 | — | $59K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $51K |
| RYAN, RAPP, & UNDERWOOD EIN 86-0767091 NONE | Legal Service code 29 | — | $38K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal Service code 29 | — | $36K |
| ULRICH CONSULTING GROUP, LLC EIN 45-3972125 NONE | Investment advisory (plan) Service code 27 | — | $18K |
| EKMAN CUSHING MAXWELL, P.S. EIN 91-1321138 NONE | Legal Service code 29 | — | $15K |
| CVS PHARMACY, INC EIN 05-0340626 NONE | Claims processing; Contract Administrator Service code 12 | — | $14K |
| ROBERT A. BOHRER, PLLC EIN 46-3183400 NONE | Legal Service code 29 | — | $13K |
| PHILLIPS, RICHARD & RIND EIN 65-0765728 NONE | Legal Service code 29 | — | $6K |
| M&T BANK EIN 16-0538020 NONE | Custodial (securities); Float revenue Service code 19 | — | $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 | 868 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 868 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 869 | $326K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 869 | — |
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.