Filings through .
History & trajectory Charts need 2 or more years. This plan has 2 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.
Broker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Athena Resource, LLC STDLTDIndemnityLife | STDLTDIndemnityLife | |
Broker: Athena Resource, LLC Vision | Vision |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 8 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 | 448 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 451 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 246 | $26K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 448 | $4K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 112 | $86K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 448 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 448 | - |
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: Life Insurance Company of North America | |
Carrier: Vision Service Plan |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICA'S TPA, LLC DBA HEALTHEZ EIN 85-1296607 | Claims processing; Contract Administrator Service code 12 | 7201 W 78TH ST STE 100 BLOOMINGTON, MN 55439 | $221K |
| ATHENA RESOURCE, LLC EIN 47-0968774 AGENT/AGENCY | Consulting (general); Insurance agents and brokers Service code 16 | 825 NICOLLET MALL SUITE 1510 MINNEAPOLIS, MN 55402 | $95K |
| STRATACOR EIN 41-1852523 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $18K |
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.
4 contacts
2 filings · 2025 to 2026