No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KEMPTON GROUP ADMINSTRATORS EIN 73-1201547 NONE | Direct payment from the plan; Plan Administrator Service code 14 | 13431 BROADWAY EXT STE 130 OKLAHOMA CITY, OK 73114 | $200K |
| HEALTHCARE HIGHWAYS EIN 76-0165558 NONE | Direct payment from the plan; Other services Service code 49 | 6300 FALLWATER TRAIL, SUITE 120 THE COLONY, TX 75056 | $53K |
| HUB INTERNATIONAL MID-AMERICA EIN 35-0672425 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $38K |
| FIDUCIARY HEALTH SOLUTIONS EIN 93-1896442 NONE | Other services; Direct payment from the plan Service code 49 | P.O. BOX 802 WATERSMEET, MI 49969 | $20K |
| PAYER COMPASS EIN 46-2047081 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| MEDCOM CARE MANAGEMENT EIN 72-1339762 NONE | Direct payment from the plan; Other services Service code 49 | P O BOX 2946 COVINGTON, LA 70434 | $9K |
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 | 210 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 85 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 295 | $887K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 295 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.