No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $138K |
| STANDARD INSURANCE COMPANY EIN 93-0242990 LTD ADMINISTRATION | Account maintenance fees Service code 65 | — | $4K |
| BANK OF AMERICA EIN 94-1687665 BANK CHARGES | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $2K |
| UNITED OF OMAHA LIFE INSURANCE COMP EIN 47-0322111 LTD ADMINISTRATION | Account maintenance fees Service code 65 | — | $1K |
| CVS CAREMARK CORPORATION EIN 05-0340626 CLAIMS PROCESSING | Claims processing Service code 12 | — | $107 |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,179 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 222 | $5.1M |
| Life insurance | STANDARD INSURANCE COMPANY | 2,725 | $1.4M |
| Prescription drug(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 222 | $5.1M |
| Other | STANDARD INSURANCE COMPANY | 2,725 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,725 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.