No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ENVISION PHARMACEUTICAL SERVICES EIN 05-0570786 NONE | Other services Service code 49 | 2181 E. AURORA RD, SUITE 201 TWINSBURG, OH 44087 | $403K |
| HUMANA INSURANCE CO. NONE | Other services Service code 49 | PO BOX 3024 MILWAUKEE, WI 532013024 | $303K |
| NOVARA, TESIJA, PLLC EIN 38-3507129 NONE | Legal Service code 29 | 2400 TOWN CENTER, STE 2370 SOUTHFIELD, MI 48075 | $76K |
| BENESYS, INC EIN 38-2383171 NONE | Plan Administrator Service code 14 | 700 TOWER DRIVE, SUITE 300 TROY, MI 48099 | $67K |
| ASSOCIATION BENEFITS COMPANY NONE | Consulting (general) Service code 16 | 26555 EVERGREEN ROAD SUITE 410 SOUTHFIELD, MI 48076 | $39K |
| LUBLINSUSSMAN GROUP, LLP EIN 34-1087273 NONE | Accounting (including auditing) Service code 10 | 3166 N. REPUBLIC BLVD TOLEDO, OH 43615 | $25K |
| HINES & ASSOCIATES, INC EIN 36-3545085 NONE | Other services Service code 49 | 115 EAST HIGHLAND AVE ELGIN, IL 60120 | $19K |
| FRONTPATH HEALTH COALITION EIN 34-1713951 NONE | Other services Service code 49 | 12875 ECKEL JUNCTION RD. PERRYSBURG, OH 43551 | $17K |
| TRUST COMPANY OF TOLEDO EIN 34-1665716 NONE | Investment management Service code 28 | 1630 TIMBERWOLF DR. HOLLAND, OH 43528 | $16K |
| PREMIER HEALTHCARE EXCHANGE, INC EIN 86-1040704 NONE | Other services Service code 49 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $12K |
| UNITED ACTURARIAL SERVICES, INC EIN 35-2156428 NONE | Actuarial Service code 11 | 11590 NORTH MERIDIAN STREET STE 610 CARMEL, IN 460324529 | $11K |
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 | 174 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 92 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 223 | $370K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
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.