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; Claims processing; Other insurance fees and expenses Service code 12 | 111 BROADWAY, 5TH FLOOR NEW YORK, NY 10006 | $569K |
| NATIONAL EMPLOYEE BENEFIT ADMINISTR EIN 65-0498809 CONTRACT ADMINISTRATION | Direct payment from the plan; Contract Administrator Service code 13 | 2010 NW 150TH AVENUE STE 100 PEMBROKE PINES, FL 33028 | $49K |
| VENABLE LAW FIRM EIN 59-1824867 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 7402 N. 56TH STREET STE 380 TAMPA, FL 33617 | $7K |
| STEVEN D EISENBERG CPA PA EIN 65-0140643 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | 13790 NW 4TH STREET STE 100 SUNRISE, FL 33325 | $7K |
| SALEM TRUST COMPANY EIN 56-2075834 CUSTODIAL | Custodial (other than securities) Service code 18 | 4890 WEST KENNEDY BLVD STE 160 TAMPA, FL 33609 | $6K |
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 | 78 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 78 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MUTUAL OF OMAHA | 0 | $5K |
| Other | MUTUAL OF OMAHA | 0 | $5K |
| 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.