No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BEACON ADMINISTRATORS EIN 83-1544721 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $275K |
| CAREFIRST OF MARYLAND EIN 52-1330940 NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $185K |
| SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $67K |
| O'DONOGHUE & O'DONOGHUE EIN 53-0120528 NONE | Legal; Direct payment from the plan Service code 29 | — | $56K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $40K |
| CHARTWELL EIN 23-2891243 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $24K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $21K |
| BOYD WATTERSON ASSET MNGMT, LLC EIN 34-1922005 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $19K |
| CVS CAREMARK EIN 05-0494040 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $15K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $13K |
| US BANK N.A. EIN 31-0841368 NONE | Float revenue; Custodial (securities); Direct payment from the plan; Soft dollars commissions Service code 19 | — | $13K |
| INVESTMENT PERFORMANCE SERVICES EIN 36-3555078 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $8K |
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 | 384 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 214 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 598 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 0 | $165K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.