Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 391 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 19 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 412 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 253 | $31K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 255 | $222K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 255 | $222K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 255 | $222K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 467 | $616K |
| Other | HARTFORD LIFE AND ACCIDENT | 255 | $222K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 467 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Reliastar Life Insurance Company | |
Carrier: Reliastar Life Insurance Company | |
Carrier: Hartford Life and Accident | |
Carrier: Vision Service Plan |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE LOOMIS COMPANY EIN 23-2238132 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $216K |
| ZELIS CLAIMS INTEGRITY INC. EIN 86-1040704 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $98K |
| WILLIS OF MARYLAND, INC EIN 52-0559369 NONE | Contract Administrator; Direct payment from the plan; Insurance brokerage commissions and fees Service code 13 | — | $85K |
| CIGNA CORPORATION EIN 35-2029627 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $44K |
| CHERRY BEKAERT LLP EIN 56-0574444 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $26K |
| THE VITALITY GROUP INC. EIN 32-0267784 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $21K |
| HINES & ASSOCIATES EIN 36-3545085 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $9K |
| TELADOC INC. EIN 04-3705970 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $6K |
| CHERRY BEKAERT ADVISORY, LLC EIN 88-2730877 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
3 contacts
11 filings · 2016 to 2026