No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HRSA-ILA FRINGE BENEFIT ESCROW FUND EIN 54-1218271 RELATED PARTY | Contract Administrator Service code 13 | — | $174K |
| ALICARE EIN 13-3432221 NONE | Claims processing Service code 12 | — | $64K |
| VITECH SYSTEMS GROUP, INC. EIN 13-3785492 NONE | Consulting (general) Service code 16 | — | $53K |
| BASYS, LLC EIN 52-1796473 NONE | Other services Service code 49 | — | $28K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $25K |
| THE SEGAL COMPANY EIN 13-1835964 NONE | Actuarial Service code 11 | — | $18K |
| VANDEVENTER BLACK LLP EIN 54-0619797 NONE | Legal Service code 29 | — | $17K |
| WILLIG, WILLIAMS & DAVIDSON EIN 23-2416488 NONE | Legal Service code 29 | — | $7K |
| ELECTRONIC SYSTEMS, INC EIN 54-1145980 NONE | Consulting (general) Service code 16 | — | $7K |
| TOWNE INSURANCE EIN 31-1774380 NONE | Insurance agents and brokers Service code 22 | — | $6K |
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 | 2,206 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 967 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,192 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,192 | — |
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.