Filings through .
History & trajectory Charts need 2 or more years. This plan has 5 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
The primary broker changed. The plan may listen to a new pitch.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 15 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,407 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 147 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,554 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF IDAHO | 1,106 | $2.2M |
| Vision | VISION SERVICE PLAN | 1,273 | $348K |
| Life insurance | PRUDENTIAL | 1,632 | $635K |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL | 1,628 | $1.9M |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL | 736 | $646K |
| Other(6 contracts, 2 carriers) | PRUDENTIAL | 1,632 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,632 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Prudential | |
Carrier: Aetna Life Insurance Co | |
Carrier: Pre-Paid Legal Services Dba Legalshield | |
Carrier: Pre-Paid Legal Services Dba Legalshield |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $1.8M |
| AETNA BEHAVIORAL HEALTH, LLC EIN 20-0446713 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 151 FARMINGTON AVE RSAA HARTFORD, NE 06156 | $27K |
| INSPIRA FINANCIAL HEALTH, INC EIN 91-1774434 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | PO BOX 2239 OMAHA, CT 68103 | $25K |
| COMPSYCH EIN 35-3739783 THIRD PARTY ADMINISTRATOR | Other fees Service code 99 | 1 PRUDENTIAL PLAZA 130 E RANDOLPH STREET, SUITE 700 CHICAGO, IL 60601 | $0 |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
2 contacts
5 filings · 2021 to 2025