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 13 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 9 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 |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $431K |
| GALLAGHER BENEFIT SERVICES EIN 36-4291971 PLAN ADMINISTRATOR / ACT | Plan Administrator; Insurance agents and brokers; Actuarial Service code 11 | — | $165K |
| BOSE MCKINNEY & EVANS LLP EIN 35-0957980 LEGAL SERVICES | Legal Service code 29 | — | $69K |
| SAVE ON SP, LLP EIN 47-3603390 NONE | Accounting (including auditing) Service code 10 | — | $49K |
| NONPROFIT FINANCIAL SOLUTIONS EIN 20-0257445 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $29K |
| BRADY WARE & SCHOENFELD INC EIN 35-1476702 AUDIT/TAX SERVICES | Accounting (including auditing) Service code 10 | — | $21K |
| RX BENEFITS EIN 63-1157085 NONE | Claims processing Service code 12 | — | $9K |
| PERPETUAL LLC EIN 20-6544159 BROKER | Other commissions Service code 55 | — | $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 | 732 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 738 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 1,273 | $429K |
| Life insurance(5 contracts) | SYMETRA LIFE INSURANCE COMPANY | 0 | $231K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 0 | $13K |
| Long-term disability(5 contracts) | SYMETRA LIFE INSURANCE COMPANY | 0 | $231K |
| Prescription drug(5 contracts) | RXBENEFITS, INC. | 273 | $0 |
| Stop-loss / reinsurancereinsurance | HIGHMARK LIFE & CASUALTY GROUP | 736 | $1.4M |
| Other(6 contracts) | SYMETRA LIFE INSURANCE COMPANY | 265 | $258K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,273 | — |
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."
The primary carrier changed from the prior filing. The plan is willing to move. Re-pitch on the next cycle.
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.