No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SOUTHWEST SERVICE ADMINISTRATORS EIN 86-0785790 NONE | Recordkeeping fees; Copying and duplicating; Contract Administrator; Claims processing Service code 12 | — | $457K |
| BLUE CROSS BLUE SHIELD EIN 86-0004538 NONE | Other services Service code 49 | — | $302K |
| GREENLIGHT MANAGEMENT NONE | Claims processing Service code 12 | 17015 N SCOTTSDALE RD STE 350 SCOTTSDALE, AZ 85255 | $148K |
| DELTA DENTAL PLAN EIN 86-0274899 NONE | Other services Service code 49 | — | $72K |
| ALAN BILLER & ASSOCIATES EIN 94-2854958 NONE | Investment advisory (plan) Service code 27 | — | $69K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial Service code 11 | — | $68K |
| ELIXIR RX SOLUTIONS NONE | Other services Service code 49 | 2181 E AURORA RD STE 201 TWINSBURG, OH 44087 | $44K |
| THE KELLEY LAW GROUP NONE | Legal Service code 29 | 3800 N CENTRAL AVE STE 530 PHOENIX, AZ 85012 | $37K |
| MD SASS NONE | Investment management fees paid directly by plan Service code 51 | 1185 AVENUE OF AMERICAS 18TH FLOOR NEW YORK, NY 10036 | $32K |
| BALDWIN MOFFITT BEHM LLP EIN 46-4370753 NONE | Accounting (including auditing) Service code 10 | — | $24K |
| US BANK NONE | Custodial (securities) Service code 19 | 800 NICOLLETT MALL MINNEAPOLIS, MN 55402 | $20K |
| LETTERSTREAM NONE | Copying and duplicating Service code 36 | 8551 E ANDERSON DR #108 SCOTTSDALE, AZ 85255 | $13K |
| FONTANA LITHOGRAPHIC, INC. NONE | Other services Service code 49 | 4801 VIEWPOINT PL HYATTSVILLE, MD 20781 | $13K |
| AMERICAN HEALTH GROUP INC NONE | Other services Service code 49 | 2152 S VINEYARD STE 103 MESA, AZ 85210 | $10K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $10K |
| MEDIMPACT HEALTHCARE SYSTEMS INC NONE | Other services Service code 49 | 10181 SCRIPPS GATEWAY CT SAN DIEGO, CA 92131 | $9K |
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 | 1,272 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HM LIFE INSURANCE | 1,272 | $152K |
| Stop-loss / reinsurancereinsurance | BCBS INSURANCE | 1,272 | $550K |
| Other | AETNA | 1,272 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,272 | — |
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 prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.