No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GEMGROUP, INC. EIN 26-1603738 NONE | Contract Administrator Service code 13 | — | $371K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $264K |
| SEGAL CONSULTING EIN 13-1835864 NONE | Actuarial Service code 11 | — | $101K |
| JENNINGS SIGMOND EIN 23-2025670 NONE | Legal Service code 29 | — | $37K |
| DANIEL A. WINTERS & COMPANY, CPAS EIN 23-2586736 NONE | Accounting (including auditing) Service code 10 | — | $30K |
| YOUNG CONAWAY STARGATT & TAYLOR LLP EIN 51-0082644 NONE | Legal Service code 29 | — | $17K |
| STACEY BRAUN ASSOCIATES INC EIN 13-2889432 NONE | Soft dollars commissions; Investment management Service code 28 | — | $6K |
| NATIONAL VISION ADMINISTRATORS LLC EIN 74-3033381 NONE | Claims processing Service code 12 | — | $5K |
| SAV-RX NONE | Claims processing Service code 12 | 224 NORTH PARK AVE FREEMONT, NE 68025 | $1K |
| PNC BANK, N.A. EIN 25-1211909 NONE | Distribution (12b-1) fees; Investment advisory (plan); Custodial (securities); Recordkeeping fees Service code 19 | — | $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 | 611 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 265 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 876 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 667 | $774K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 667 | — |
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.