No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MILA MANAGED HEALTH CARE TRUST FUND EIN 13-3968546 INSURANCE PROVIDER | Direct payment from the plan; Other insurance fees and expenses; Claims processing Service code 12 | 111 BROADWAY, 5TH FLOOR NEW YORK, NY 10006 | $279K |
| NATIONAL EMPLOYEE BENEFIT ADMINISTR EIN 65-0498809 CONTRACT ADMINISTRATION | Direct payment from the plan; Contract Administrator Service code 13 | 2010 NW 150TH AVENUE STE 200 PEMBROKE PINES, FL 33028 | $47K |
| STEVEN D EISENBERG CPA PA EIN 65-0140643 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 7700 CONGRESS AVENUE 1128 BOCA RATON, FL 33487 | $20K |
| WILLIG, WILLIAMS & DAVIDSON EIN 23-2416488 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 1845 WALNUT STREET PHILADELPHIA, PA 19103 | $8K |
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 | 89 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 89 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MUTUAL OF OMAHA | 0 | $2K |
| Other | MUTUAL OF OMAHA | 0 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.