No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ENVISION PHARMACEUTICAL SERVICES EIN 05-0570786 NONE | Other services Service code 49 | — | $506K |
| HUMANA INSURANCE COMPANY NONE | Claims processing Service code 12 | P.O. BOX 3024 MILWAUKEE, WI 53201 | $393K |
| THE UNION LABOR LIFE INSURANCE CO. EIN 13-1423090 NONE | Claims processing Service code 12 | — | $383K |
| BENESYS, INC. EIN 38-2383171 NONE | Plan Administrator Service code 14 | — | $65K |
| NOVARA, TESIJA & CATENACCI, PLLC EIN 38-3763096 NONE | Legal Service code 29 | — | $50K |
| HINES & ASSOCIATES, INC. EIN 36-3545085 NONE | Other services Service code 49 | — | $36K |
| SALUS GROUP NONE | Consulting (general) Service code 16 | 38221 MOUND ROAD, BLDG G STERLING HEIGHTS, MI 48310 | $31K |
| ZELIS NONE | Consulting (general) Service code 16 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $22K |
| FRONTPATH HEALTH COALITION EIN 34-1713951 NONE | Other services Service code 49 | — | $18K |
| CLARK SCHAEFER HACKETT EIN 34-1087273 NONE | Accounting (including auditing) Service code 10 | — | $13K |
| UNITED ACTUARIAL SERVICES, INC. EIN 35-2156428 NONE | Actuarial Service code 11 | — | $7K |
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 | 89 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 228 | $365K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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.