No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MG TRUST COMPANY DBA MATRIX TRUST C EIN 75-3182674 TRUSTEE/RECORDKEEPER | Sub-transfer agency fees; Recordkeeping fees; Consulting (general); Participant loan processing; Account maintenance fees; Float revenue; Custodial (securities); Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Trustee (directed); Soft dollars commissions; Copying and duplicating Service code 15 | — | $183K |
| QCI ASSET MANAGEMENT INVESTMENT ADVISOR | Investment management fees paid directly by plan; Investment advisory (participants) Service code 26 | 40A GROVE STREET PITTSFORD, NY 14534 | $13K |
| LYON CAPITAL MANAGEMENT EIN 16-1516933 INVESTMENT ADVISOR | Investment management fees paid directly by plan; Investment advisory (participants) Service code 26 | — | $8K |
| TD AMERITRADE, INC. EIN 82-0543156 SUB-AGENT | Soft dollars commissions; Shareholder servicing fees; Distribution (12b-1) fees; Sub-transfer agency fees Service code 59 | — | $2K |
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 | 371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 130 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 501 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNION CENTRAL LIFE INSURANCE COMPANY | 1 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.