No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 06-0303370 CONTRACT ADMINISTRATOR | Other services; Contract Administrator; Claims processing Service code 12 | — | $14.3M |
| AETNA EIN 23-2229683 CONTRACT ADMINISTRATOR | Contract Administrator; Other services; Claims processing Service code 12 | — | $9.4M |
| ACCENT EIN 20-1802547 SUBROGATION | Other services Service code 49 | — | $200K |
| TOWERS WATSON EIN 53-0181291 AUDITORS | Accounting (including auditing) Service code 10 | — | $188K |
| SELECTHEALTH EIN 87-0409820 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $149K |
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 12-7391136 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $94K |
| SB & COMPANY LLC EIN 20-2153727 AUDITOR | Accounting (including auditing) Service code 10 | — | $38K |
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 | 60,775 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 253 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 61,028 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(17 contracts, 17 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC | 8,302 | $185.9M |
| Dental | SIMNSA | 645 | $1.0M |
| Life insurance | KAISER FOUNDATION HEALTH PLAN | 2,951 | $13.7M |
| Prescription drug(15 contracts, 15 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC | 8,302 | $171.3M |
| Other | SIMNSA | 645 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,302 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.