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.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Bolton Partners Stop-loss | Stop-loss | |
Broker: Bolton Partners LifeLTDOther | LifeLTDOther | |
Broker: Labor First LLC Other | Other |
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 | 2,804 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 432 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,236 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 3,285 | $1.2M |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 3,285 | $1.2M |
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 2,916 | $2.2M |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 3,285 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,285 | - |
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: Union Labor Life Insurance Company | |
Carrier: Symetra Life Insurance Company | |
Carrier: Humana |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DECISION SCIENCE, INC EIN 52-1055523 NONE | Contract Administrator Service code 13 | — | $837K |
| COMPLETE CLAIM SOLUTIONS, INC. EIN 26-4450838 NONE | Claims processing Service code 12 | — | $732K |
| MORGAN, LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal Service code 29 | — | $104K |
| CVS CAREMARK EIN 05-0340626 NONE | Other fees Service code 99 | — | $63K |
| CIGNA DENTAL NONE | Other fees Service code 99 | 1601 CHESTNUT ST, PHILADELPHIA, PA 19192 | $53K |
| RAYMOND JAMES & ASSOCIATES, INC EIN 59-1237041 NONE | Securities brokerage; Investment advisory (plan) Service code 27 | — | $25K |
| DOYLE PRINTING & OFFSET CO., INC EIN 53-0191325 NONE | Other fees Service code 99 | — | $21K |
| GOLDBERG & BANKS, P.C. EIN 52-2062749 NONE | Legal Service code 29 | — | $18K |
| BOLTON PARTNERS, INC EIN 52-1231144 NONE | Actuarial Service code 11 | — | $17K |
| ACCENT PRINTERS, INC. EIN 52-1263036 NONE | Other fees Service code 99 | — | $17K |
| NATIONAL VISION ADMINISTRATOR EIN 74-3033381 NONE | Claims processing Service code 12 | — | $17K |
| BALDWIN LAW GROUP, LLP EIN 51-0568066 NONE | Legal Service code 29 | — | $14K |
| BARR & CAMENS NONE | Legal Service code 29 | 1025 CONNECTICUT AVE NW, SUITE 1000 WASHINGTON, DC 200365420 | $6K |
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.
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11 filings · 2015 to 2025