No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVERSIDE HEALTH, LLC NONE OTHER THAN CONTRACT | Other services Service code 49 | 1400 WEWATTA STREET SUITE 350 DENVER, CO 80202 | $2.1M |
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 NONE OTHER THAN CONTRACT | Non-monetary compensation; Float revenue; Participant communication; Direct payment from the plan; Named fiduciary; Claims processing; Contract Administrator; Other services Service code 12 | — | $1.3M |
| BENESYS, INC EIN 38-2383171 NONE OTHER THAN CONTRACT | Contract Administrator Service code 13 | — | $938K |
| LYRA BEHAVIOURAL NONE OTHER THAN CONTRACT | Insurance services Service code 23 | 270 EAST LANE BURLINGAME, CA 94010 | $587K |
| THE SEGAL COMPANY EIN 13-1835864 NONE OTHER THAN CONTRACT | Consulting (general) Service code 16 | — | $238K |
| DELTA DENTAL EIN 86-0274899 NONE OTHER THAN CONTRACT | Claims processing Service code 12 | — | $211K |
| SPENCER FANE LLP NONE OTHER THAN CONTRACT | Legal Service code 29 | 2415 E CAMELBACK STE 600 PHOENIX, AZ 85016 | $175K |
| SEGAL SELECT INSURANCE NONE OTHER THAN CONTRACT | Insurance services Service code 23 | 333 WEST 34TH ST NEW YORK, NY 100012402 | $96K |
| WARD KEENAN AND BARRETT PC EIN 86-0274260 NONE OTHER THAN CONTRACT | Legal Service code 29 | — | $93K |
| NUCLEUS MEDICAL NONE OTHER THAN CONTRACT | Other fees Service code 99 | 4455 E CAMELBACK RD A242 PHOENIX, AZ 85016 | $86K |
| GILBERT & SACKMAN NONE OTHER THAN CONTRACT | Legal Service code 29 | 800 WILSHIRE BLVD #1410 LOS ANGELES, CA 90017 | $74K |
| VERUS ADVISORS, INC EIN 91-1320111 NONE OTHER THAN CONTRACT | Investment management Service code 28 | — | $60K |
| GLENDALE MEDICAL PROPERTIES NONE OTHER THAN CONTRACT | Other fees Service code 99 | 2 SUMMITT DRIVE #540 CLEVELAND, OH 44151 | $60K |
| SMART SOURCE NONE OTHER THAN CONTRACT | Copying and duplicating Service code 36 | PO BOX 2314 COLUMBUS, GA 319022314 | $58K |
| BALDWIN MOFFITT BEHM LLP EIN 46-4370753 NONE OTHER THAN CONTRACT | Accounting (including auditing) Service code 10 | — | $36K |
| INTERNATIONAL PRINTING COMPANY EIN 86-0528251 NONE OTHER THAN CONTRACT | Copying and duplicating Service code 36 | — | $36K |
| IR & M RESEARCH NONE OTHER THAN CONTRACT | Investment advisory (plan) Service code 27 | 115 FEDERAL ST 22ND FLOOR BOSTON, MA 02110 | $29K |
| ACADIAN ASSET MGT NONE OTHER THAN CONTRACT | Investment advisory (plan) Service code 27 | 260 FRANKLIN ST BOSTON, MA 02110 | $18K |
| HEALTHWAVES NONE OTHER THAN CONTRACT | Insurance services Service code 23 | 1615 W UNIVERSITY TEMPE, AZ 85251 | $14K |
| U S BANK NONE OTHER THAN CONTRACT | Custodial (securities) Service code 19 | 800 NICOLLET MALL MINNEAPOLIS, MN 55402 | $11K |
| APS NONE OTHER THAN CONTRACT | Other fees Service code 99 | ONE ARIZONA CENTER PHOENIX, AZ 85004 | $6K |
| CIGNA | Non-monetary compensation; Named fiduciary; Participant communication; Float revenue; Direct payment from the plan; Contract Administrator; Other services; Claims processing Service code 12 | — | $0 |
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 | 3,246 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 197 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,448 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EMPLOYERS DENTAL SERVICES | 150 | $9K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH & LIFE | 3,246 | $528K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 3,246 | $621K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,246 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.