History & trajectoryCharts need 2 or more years. This plan has 4 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
#
Carrier
Coverage
Premium
Share
Covered
Retention
Renews
Primary broker
Name - ProName available on ProProAvailable on Pro$ ProDollar amount available on Pro% ProPercentage available on Pro# ProCount available on Pro$ ProDollar amount available on ProDate - ProDate available on ProName - ProName available on Pro
Name - ProName available on ProProAvailable on Pro$ ProDollar amount available on Pro% ProPercentage available on Pro# ProCount available on Pro$ ProDollar amount available on ProDate - ProDate available on ProName - ProName available on Pro
Name - ProName available on ProProAvailable on Pro$ ProDollar amount available on Pro% ProPercentage available on Pro# ProCount available on Pro$ ProDollar amount available on ProDate - ProDate available on ProName - ProName available on Pro
See premium, retention and renewal dates for 7 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.
Form 5500 line 6: one number per filing, reported by the sponsor
Active participants
132
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)
132
Active, retired or separated, and beneficiaries. Dependents are not counted.
Schedule A: enrollment per contract, one row per coverage line
Coverage
Top carrier
Persons covered EOY
Premium
Health (medical)
HUMANA MEDICAL PLAN, INC.
52
$608K
Dental
HUMANA INSURANCE COMPANY
97
$87K
Vision
HUMANA INSURANCE COMPANY
97
$87K
Life insurance(2 contracts)
UNITED OF OMAHA LIFE INSURANCE COMPANY
136
$14K
Short-term disability
UNITED OF OMAHA LIFE INSURANCE COMPANY
54
$16K
Long-term disability
UNITED OF OMAHA LIFE INSURANCE COMPANY
38
$19K
Other(4 contracts, 3 carriers)
HUMANA MEDICAL PLAN, INC.
136
$639K
Persons covered (= "Persons covered" tile)
Max across the rows above
136
-
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 and commissions
Brokers paid through Schedule A and service providers paid through Schedule C.