No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK EIN 23-1294723 INSURANCE SVCS | Insurance services Service code 23 | — | $346K |
| ANTHEM EIN 54-0357120 INSURANCE SVCS | Insurance services Service code 23 | — | $284K |
| EXPRESS SCRIPTS EIN 74-1420563 INSURANCE SVCS | Insurance services Service code 23 | — | $272K |
| JPMORGAN CHASE BANK EIN 13-2624428 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $260K |
| PWP GROWTH EQUITY FUND I LP EIN 37-1731370 INV MANAGER | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $93K |
| EURO PACIFIC GROWTH FUND EIN 95-6817943 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $84K |
| WELSH, CARSON, ANDERSON & STOWE XII EIN 32-0455106 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $81K |
| AON HEWITT ASSOCIATES LLC EIN 36-2235791 RECORDKEEPER | Recordkeeping fees Service code 64 | — | $72K |
| ERNST & YOUNG US LLP EIN 34-6565596 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $67K |
| WELLS CAPITAL MANAGEMENT EIN 95-3692822 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $64K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $40K |
| TRILANTIC ENERGY PARTNERS EIN 34-4807607 INV MANAGER | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $37K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $36K |
| A&M CAPITAL PARTNERS LP EIN 46-2333989 INV MANAGER | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 51 | — | $28K |
| NB SECONDARY OPP FUND II LP EIN 06-1834242 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $25K |
| WILLIS TOWERS WATSON PUBLIC LTD CO. EIN 53-0181291 ACTUARY | Actuarial Service code 11 | — | $23K |
| CERBERUS INSTITUTIONAL PTNR LP III EIN 58-2672907 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $14K |
| NB CO.-INVESTMENT PARTNERS LP EIN 20-5357220 INV MANAGER | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $14K |
| CERBERUS INSTITUTIONAL PTNR LP IV EIN 41-2217841 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $12K |
| TRILANTIC CAPITAL PARTNERS III LP EIN 87-0726815 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $11K |
| TRILANTIC CAPITAL PARTNERS IV LP EIN 26-0671813 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $9K |
| AG CAPITAL RECOVERY VII EIN 26-4216120 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $9K |
| NB SECONDARY OPP FUND LP EIN 34-2049022 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $7K |
| WCAS CAPITAL PARTNERS IV LP EIN 20-1292675 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $6K |
| STATE STREET BANK & TRUST CO. EIN 04-1867445 INV MANAGER | Investment management fees paid directly by plan Service code 51 | — | $6K |
| AG CAPITAL RECOVERY VI EIN 26-1556523 INV MANAGER | Investment management fees paid indirectly by plan Service code 52 | — | $5K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,039 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,039 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL LIFE INSURANCE COMPANY | 531 | $949K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 531 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.