No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MITCH BESVINICK EIN 22-6943343 AGENT | Insurance agents and brokers Service code 22 | 1280 BRIGHTON WAY NEWTON SQUARE, PA 19073 | $49K |
| AMERICAN HEATH DATA INSTITUTE EIN 35-2048379 MISC | Other insurance fees and expenses Service code 73 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $21K |
| KEY BENEFIT ADMINISTRATORS EIN 35-1450364 ADMINISTRATOR | Other insurance fees and expenses Service code 73 | 8330 ALLSION POINT TRAIL INDIANAPOLIS, IN 46250 | $19K |
| WILLIS OF ILLINOIS EIN 36-2691200 BROKER | Other insurance fees and expenses Service code 73 | 233 SOUTH WACKER DR SUITE 2000 CHICAGO, IL 60606 | $9K |
| MULTIPLAN EIN 35-2048379 MISC | Other insurance fees and expenses Service code 73 | 115 5TH AVE 7TH FLOOR NEW YORK, NY 10003 | $8K |
| RGI, LLC EIN 32-0176370 MISC | Other insurance fees and expenses Service code 73 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $7K |
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 | 321 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 321 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | 000 | 321 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 321 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.