Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Stealth Partner Group LLC Stop-loss | Stop-loss | |
Vision | Vision |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 587 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 587 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 592 | $97K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 595 | $402K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 595 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: HCC Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 NONE | Contract Administrator; Claims processing; Other fees Service code 12 | — | $332K |
| NATIONAL EMPLOYEE BENEFIT ADMINISTR EIN 65-0498809 NONE | Copying and duplicating; Participant communication; Other services; Contract Administrator Service code 13 | — | $147K |
| ACRISURE S. PARTNERS INSUR SERVICES EIN 92-3683970 NONE | Consulting (general) Service code 16 | — | $102K |
| DREXI RX EIN 46-4488538 NONE | Contract Administrator; Claims processing Service code 12 | — | $101K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 11-3658445 NONE | Other investment fees and expenses; Investment advisory (plan); Other services; Securities brokerage; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Securities brokerage commissions and fees; Recordkeeping fees; Other fees; Other commissions; Custodial (securities) Service code 15 | — | $32K |
| PLUMBERS AND PIPEFITTERS LOCAL 123 RELATED LOCAL UNION | Other services Service code 49 | 3601 MCINTOSH RD DOVER, FL 33527 | $31K |
| VENABLE LAW FIRM PA EIN 59-1824867 NONE | Legal; Other services Service code 29 | — | $27K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $23K |
| TOP DRAWER, INC. EIN 59-1550960 NONE | Copying and duplicating; Other services Service code 36 | — | $21K |
| TRUIST BANK NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 214 NORTH TRYON STREET CHARLOTTE, NC 28202 | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025