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 pricingThe filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Stop-loss | Stop-loss | |
Rx | Rx | |
Life | Life | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 4 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 | 331 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 60 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 391 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 391 | $25K |
| Life insurance | 5 STAR LIFE INSURANCE COMPANY | 391 | $60K |
| Prescription drug | LABOR FIRST LLC | 60 | $117K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE | 391 | $363K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 391 | - |
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.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE EIN 36-2739571 NONE | Participant communication; Other services; Claims processing; Named fiduciary; Float revenue; Contract Administrator Service code 12 | 5901 LINCOLN DRIVE MINNEAPOLIS, MN 55436 | $183K |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 NONE | Plan Administrator; Consulting (general) Service code 14 | P.O. BOX 1449 GOODLETTSVILLE, TN 37070 | $133K |
| DANIELS IRWIN & AYLOR EIN 62-1802605 NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST. SUITE 112 MADISON, TN 37115 | $14K |
| FIRST HORIZON NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Custodial (other than securities) Service code 15 | P.O. BOX 84 MEMPHIS, TN 38101 | $14K |
| STANDARD VALUATIONS, INC. EIN 41-1327339 NONE | Investment advisory (plan); Consulting fees; Consulting (general) Service code 16 | 790 CLEVELAND AVE. S. ST. PAUL, MN 55116 | $13K |
| GODWIN, MORRIS, LAURENZI, BLOOMFIEL EIN 62-1371542 NONE | Legal Service code 29 | P.O. BOX 3290 MEMPHIS, TN 381730290 | $11K |
| VIVEKA HEALTH EIN 86-2467157 NONE | Other insurance fees and expenses Service code 73 | 12550 BISCAYNE BLVD 505 MIAMI, FL 33181 | $9K |
| UNION EAP LLC NONE | Other services Service code 49 | P.O. BOX 271093 FORT COLLINS, CO 80527 | $7K |
| MONEY MARKET AND MUTUAL FUNDS NONE | Custodial (securities); Investment management Service code 19 | — | $0 |
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.
1 contact
11 filings · 2015 to 2025