No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP EIN 73-1478844 PLAN SUPERVISOR | Plan Administrator Service code 14 | — | $26K |
| EVOLUTIONS HEALTHCARE SYSTEM EIN 59-3139483 PPO NETWORK | Claims processing Service code 12 | — | $7K |
| HSG CONSOLIDATED EIN 73-1478844 UTILIZATION REVIEW | Plan Administrator Service code 14 | — | $3K |
| ZELIS EIN 86-1040704 PPO NETWORK | Claims processing Service code 12 | — | $198 |
| MULTIPLAN, INC EIN 13-3068979 PPO NETWORK | Claims processing Service code 12 | — | $32 |
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 | 112 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | SKYWARD | 97 | $567K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 97 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.