No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 54-0357120 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $899K |
| NATIONAL EMPLOYEE BENEFIT ADMIN EIN 65-0498809 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $843K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $138K |
| HORIZON ACTUARIAL SERVICES LLC EIN 26-1370698 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $129K |
| MEDEXPERT INTERNATIONAL INC EIN 94-3360248 NONE | Other services; Direct payment from the plan Service code 49 | — | $79K |
| HEALTH ADVOCATE SOLUTIONS EIN 23-3080019 NONE | Other services; Direct payment from the plan Service code 49 | — | $54K |
| ARNALL GOLDEN GREGORY LLP EIN 58-1423485 NONE | Direct payment from the plan Service code 50 | — | $41K |
| GROUP VISION SERVICES EIN 26-3323202 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $38K |
| MADISON INVESTMENT ADVISORS, LLC EIN 39-1194160 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $27K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| REYNOLDS CONSULTING SRVCS., LLC EIN 20-1899564 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $12K |
| PACIFIC INCOME ADVISERS, INC. EIN 95-4067974 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $8K |
| U.S. BANK EIN 31-0841368 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $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 | 2,723 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 81 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,808 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 2,808 | $384K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,808 | — |
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.