No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 58-1638390 CONTRACT ADMINIST | Float revenue; Other services; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $766K |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 CONTRACT ADMINIST | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | P.O.BOX 1449 GOODLETTSVILLE, TN 37070 | $579K |
| MORGAN STANLEY EIN 26-4310844 INVESTMENT ADVISORY | Securities brokerage commissions and fees; Investment advisory (plan); Other fees; Direct payment from the plan; Securities brokerage; Custodial (securities); Other services; Other investment fees and expenses Service code 19 | 777 S FLAGLER DRIVE STE 900 WEST PALM BEACH, FL 33401 | $129K |
| W ERIC VENABLE PA EIN 59-1824869 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 7402 N 56TH STREET 380 TAMPA, FL 33610 | $33K |
| STEVEN D. EISENBERG CPA, P,.A EIN 65-0140643 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 13790 NW 4 STREET STE 100 SUNRISE, FL 33325 | $31K |
| BHA CONSULTING EIN 58-1910292 CONSULTANT | Actuarial; Direct payment from the plan Service code 11 | 5400 LAUREL SPRINGS PARKWAY 1306 SUWANEE, GA 30024 | $7K |
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 | 2,582 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 94 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,676 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 0 | $766K |
| Dental(2 contracts, 2 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 0 | $766K |
| Vision | 0 | $0 | |
| Life insurance | 0 | $0 | |
| Prescription drug(2 contracts, 2 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 0 | $766K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE CO | 0 | $1.2M |
| 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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.