No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SELF-INSURED SERVICES CO. EIN 42-1144827 CLAIMS ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $179K |
| LEWIS & ELLIS, INC. EIN 75-1281520 PLAN ACTUARY | Direct payment from the plan; Actuarial Service code 11 | — | $115K |
| INTEGRITY BENEFIT SOLUTIONS EIN 82-3076274 PLAN CONSULTANT | Direct payment from the plan; Consulting (general) Service code 16 | — | $108K |
| LEADINGAGE KANSAS EIN 82-2030620 GENERAL ADMINISTRATOR | Plan Administrator; Direct payment from the plan; Consulting (general) Service code 14 | — | $94K |
| MULTIPLAN/PHCS EIN 13-3068979 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $42K |
| HEALTHCHECK 360 EIN 42-1403200 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $30K |
| SSC CPAS P.A. EIN 48-0969601 PLAN ACCOUNTING | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| WIPFLI LLP PLAN AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 10000 W INNOVATION DR MILWAUKEE, WI 53226 | $23K |
| ASAP EDUCATION SOLUTIONS NONE | Direct payment from the plan; Contract Administrator Service code 13 | 1810 E. SAHARA AVE LAS VEGAS, NV 89104 | $20K |
| FISHER BROYLES, LLP EIN 56-2332885 PLAN LEGAL COUNSEL | Direct payment from the plan; Legal Service code 29 | — | $18K |
| INTERLINK CANCERCARE NONE | Direct payment from the plan; Contract Administrator Service code 13 | 4660 NE BELKNAP, STE 209 877-640-9610 HILLSBORO, OR 97124 | $9K |
| STINSON, LEONARD & STREET, LLP EIN 44-0643135 PLAN LEGAL COUNSEL | Direct payment from the plan; Legal Service code 29 | — | $6K |
| ASSIMILATED STRATEGY GROUP EIN 46-3270453 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $102 |
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 | 687 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 690 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | ZURICH AMERICAN INSURANCE COMPANY | 557 | $464K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 557 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.