No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 59-1031071 ADMIN SERVICES PROVIDER | Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Float revenue Service code 12 | — | $3.6M |
| BLUE CROSS AND BLUE SHIELD OF AL EIN 63-0103830 ADMIN SERVICES PROVIDER | Claims processing; Contract Administrator Service code 12 | — | $232K |
| OPTUMRX, INC. EIN 33-0441200 ADMIN SERVICES PROVIDER | Claims processing; Contract Administrator Service code 12 | — | $135K |
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 | 4,161 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL SERVICES ASSOCIATION | 2 | $12K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 0 | $496K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 4,093 | $4.2M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 4,093 | $4.2M |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 9,266 | $928K |
| Other(2 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 4,093 | $4.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,266 | — |
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.