No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TPAC UNDERWRITERS, INC EIN 75-2396335 AGENT | Custodial (securities) Service code 19 | 3810 PHEASANT RIDGE DRIVE NE STE 300 MINNEAPOLIS, MN 55449 | $170K |
| KEMPTON GROUP ADMINISTRATORS EIN 73-1201547 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | 13431 BROADWAY EXTENSION SUITE 130 OKLAHOMA CITY, OK 73114 | $56K |
| SOUTHERN SCRIPTS DBA LIVINITI EIN 61-1766825 RX 3RDPARTY ADMINISTRATOR | Claims processing Service code 12 | 411 BIENVILLE ST NATCHITOCHES, LA 71457 | $20K |
| PAYER COMPASS EIN 46-2047081 CLAIMS PROCESSOR | Claims processing Service code 12 | 5800 GRANITE PARKWAY STE 450 PLANO, TX 75024 | $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 | 84 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 84 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHCARE HIGHWAYS PLUS | 11 | $1K |
| Vision | HEALTHCARE HIGHWAYS PLUS | 11 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11 | — |
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.