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 primary broker changed. The plan may listen to a new pitch.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 8 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 | 22,086 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 22,086 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HEALTH PLAN OF NEVADA | 243 | $2.5M |
| Dental | DELTA DENTAL OF TENNESSEE | 18,864 | $5.0M |
| Vision | BLUE CROSS BLUE SHIELD | 16,848 | $1.2M |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 22,086 | $3.9M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 11,314 | $6.5M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 11,314 | $6.5M |
| Prescription drug | HEALTH PLAN OF NEVADA | 243 | $1.7M |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 22,086 | $6.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,086 | - |
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.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBS EIN 62-0427913 NONE | Insurance services; Contract Administrator Service code 13 | 1 CAMERON CIR CHATTANOOGA, TN 37402 | $4.2M |
| BUSINESSSOLVER EIN 42-1503807 NONE | Other services Service code 49 | 1025 ASHWORTH ROAD WEST DES MOINES, IA 50265 | $831K |
| REMEDY ANALYTICS EIN 45-3151617 NONE | Other services Service code 49 | 234 W. FLORIDA ST., STE 150 MILWAUKEE, WI 53204 | $315K |
| VIRGIN PULSE/PERSONIFY HEALTH NONE | Other services Service code 49 | 75 FOUNTAIN STREET PROVIDENCE, RI 02902 | $82K |
| HEALTHEQUITY EIN 52-2383166 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 15 W SCENIC POINTE DRIVE, SUITE 100 DRAPER, UT 84020 | $49K |
| LBMC EIN 62-1199757 NONE | Accounting (including auditing) Service code 10 | 210 FRANKLIN ROAD BRENTWOOD, TN 37027 | $42K |
| TEST N SHARE EIN 82-2405799 NONE | Other services Service code 49 | 136 FANTAIL COURT BRUNSWICK, GA 31525 | $40K |
| OGLETREE & DEAKINS, & STEWART, PC EIN 57-1044820 NONE | Other services Service code 49 | P.O BOX 89 COLUMBIA, SC 29202 | $21K |
| TOWERS WATSON EIN 53-0181291 NONE | Actuarial Service code 11 | 26 CENTURY BLVD #101 NASHVILLE, TN 37214 | $15K |
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.
3 contacts
11 filings · 2015 to 2025