No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIFETIME BENEFIT SOLUTIONS EIN 16-1171765 TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | 115 CONTINUUM DRIVE LIVERPOOL, NY 13088 | $160K |
| PROACT, INC. EIN 16-1571381 ADMINISTRATION | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 6333 STATE RTE 298 SYRACUSE, NY 13057 | $18K |
| HEALTH SMART PREFERRED NETWORK EIN 34-1675523 ADMINISTRATION | Contract Administrator Service code 13 | PO BOX 846038 DALLAS, TX 75284 | $6K |
| MULTIPLAN INC/PRIVATE HEALTH CARE EIN 13-3068979 ADMINISTRATION | Contract Administrator Service code 13 | PO BOX 29395 NEW YORK, NY 10087 | $5K |
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 | 351 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 361 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 514 | $158K |
| Short-term disability | SUN LIFE AND HEALTH INSURANCE COMPANY | 514 | $158K |
| Long-term disability | SUN LIFE AND HEALTH INSURANCE COMPANY | 514 | $158K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 351 | $157K |
| Other | SUN LIFE AND HEALTH INSURANCE COMPANY | 514 | $158K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 514 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.