No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CVS CAREMARK EIN 05-0340626 SERVICE PROVIDER | Direct payment from the plan; Claims processing Service code 12 | — | $525K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 SERVICE PROVIDER | Direct payment from the plan; Claims processing Service code 12 | — | $330K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 SERVICE PROVIDER | Contract Administrator Service code 13 | — | $131K |
| EMPLOYEES OF IATSE LOCAL 22 WELFARE EIN 52-1021473 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $104K |
| BENEFITS ADMINISTRATION CORPORATION EIN 52-1139156 SERVICE PROVIDER | Claims processing; Direct payment from the plan Service code 12 | — | $85K |
| O'DONOGHUE AND O'DONOGHUE EIN 53-0120528 SERVICE PROVIDER | Legal; Direct payment from the plan Service code 29 | — | $59K |
| NCAS SERVICE PROVIDER | Direct payment from the plan; Contract Administrator Service code 13 | 10455 MILL RUN ROAD OWINGS MILLS, MD 21117 | $40K |
| SARFINO AND RHOADES, LLP EIN 52-0961657 SERVICE PROVIDER | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $37K |
| AMERICA HEALTH HOLDINGS, INC. EIN 31-1368946 SERVICE PROVIDER | Direct payment from the plan; Contract Administrator Service code 13 | — | $33K |
| BOLTON PARTNERS, INC. EIN 52-1231144 SERVICE PROVIDER | Actuarial; Direct payment from the plan Service code 11 | — | $27K |
| A&S FINANCIAL SERVICES, LLC EIN 27-4189010 SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $23K |
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 | 334 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 61 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 395 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 374 | $0 |
| Life insurance | THE UNION LABOR LIFE INSURANCE CO. | 308 | $48K |
| Other | THE UNION LABOR LIFE INSURANCE CO. | 308 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 374 | — |
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.