| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP VISION SERVICES MGMT INC3 | 6700 ALEXANDER BELL DR SUITE #200 COLUMBIA, MD 21046 | DENTEGRA INSURANCE COMPANY | $14K | — | $14K | 4.00% |
| LAKESHORE BENEFIT GROUP INSURANCE3 | — | THE UNION LABOR LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $401K |
| CONIFER HEALTH SOLUTIONS EIN 52-1964905 NONE | Other fees; Direct payment from the plan; Other services Service code 49 | — | $135K |
| WITHUMSMITH+BROWN, P.C. EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $38K |
| SLEVIN & HART, PC EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $31K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $29K |
| AMERICAN REALTY EIN 33-0123114 NONE | Investment management; Non-monetary compensation; Investment management fees paid directly by plan Service code 28 | — | $29K |
| PENN CAPITAL MANAGEMENT EIN 22-2796848 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $19K |
| PNC EIN 22-1211909 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $17K |
| LOCKTON-DUNNING EIN 20-3354970 NONE | Consulting (general) Service code 16 | — | $15K |
| CHEIRON, INC. EIN 13-4215617 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $13K |
| INVESTMENT PERFORMANCE SERVICE EIN 58-2432390 NONE | Direct payment from the plan; Investment advisory (plan); Consulting (general) Service code 16 | — | $10K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Float revenue; Other fees; Claims processing; Direct payment from the plan Service code 12 | — | $9K |
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 | 1,101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 94 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTEGRA INSURANCE COMPANY | 1,707 | $358K |
| Vision | FIDELITY SECURITY LIFE INSURANCE | 1,641 | $38K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,276 | $38K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,276 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,707 | — |
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."
No prospect flags tripped on this filing.