See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 3 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 4 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICA'S CHOICE HEALTHPLANS LLC EIN 20-0296224 | Other commissions; Contract Administrator Service code 13 | 13111 NORTHWEST FREEWAY STE 510 HOUSTON, TX 77079 | $0 |
| CHARD SYNDER EIN 99-0000061 | Plan Administrator Service code 14 | 6867 CINTAS BVLD MASON, OH 45040 | $0 |
| DENTEMAX EIN 27-0083277 | Insurance services Service code 23 | EQUIAN PO BOX 641 LOCKBOX 141917 INDIANAPOLIS, IN 46206 | $0 |
| FIRST DENTAL HEALTH EIN 33-0655193 | Insurance services Service code 23 | PO BOX 919029 SAN DIEGO, CA 92191 | $0 |
| FIRST HEALTH GROUP CORP EIN 20-1736437 | Insurance services Service code 23 | 23291 NETWORK PLACE CHICAGO, IL 60673 | $0 |
| HEALTHCARE STRATEGIES EIN 52-1874471 | Actuarial Service code 11 | PO BOX 37039 BALTIMORE, MD 21797 | $0 |
| INSHORE INDEMNITY INC EIN 26-0542654 | Other fees Service code 99 | 605 RENAISSANCE WAY RIDGELAND, MS 39158 | $0 |
| IRONSHORE INDEMNITY INC EIN 26-0542654 | Insurance services Service code 23 | 605 RENAISSANCE WAY RIDGELAND, MS 39158 | $0 |
| PRIVATE HEALTH CARE SYSTEMS EIN 04-3138814 | Insurance services Service code 23 | 1100 WINTER STREET WALTHAM, MA 02451 | $0 |
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 | 156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN | 92 | $643K |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 3 | $59K |
| Life insurance | THE HARTFORD LIFE & ACCIDENT | 156 | $136K |
| Long-term disability | THE HARTFORD LIFE & ACCIDENT | 156 | $136K |
| Other(2 contracts, 2 carriers) | THE HARTFORD LIFE & ACCIDENT | 156 | $195K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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 compensation exceeds 5% of premium. This is either a small-plan minimum fee or an inefficient broker structure open to a counter-bid.