| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUGLAS A WOHLMAN INC.4 | 809 ALOHA ST EDMONDS, WA 98020 | THE UNION LABOR LIFE INSURANCE COMPANY | $6K | — | $6K | 3.00% |
| THE SEGAL COMPANY4 Filed as: THE SEGAL CO. ARIZONA | 1501 W FOUNTAINHEAD PKWY #370 TEMPE, AZ 85282 | THE UNION LABOR LIFE INSURANCE COMPANY | $5K | — | $5K | 2.67% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SOUTHWEST SERVICE ADMINISTRATORS EIN 86-0785790 NONE | Claims processing; Direct payment from the plan; Contract Administrator; Other fees Service code 12 | — | $993K |
| CIGNA HEALTH & LIFE INSURANCE COMPA EIN 06-0303370 NONE | Direct payment from the plan; Other fees Service code 50 | — | $974K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $163K |
| MORGAN STANLEY EIN 36-3145972 NONE | Investment management; Direct payment from the plan; Custodial (securities) Service code 19 | — | $146K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $123K |
| OPTUMRX NONE | Other fees; Direct payment from the plan Service code 50 | 2300 MAIN ST IRVINE, CA 92614 | $113K |
| HEALTHCARE BLUEBOOK NONE | Direct payment from the plan; Other fees Service code 50 | 5880 NOLENSVILLE PIKE STE 200 NASHVILLE, TN 37211 | $78K |
| US BANK EIN 31-0841368 NONE | Other fees; Direct payment from the plan Service code 50 | — | $78K |
| SEGAL BENZ NONE | Consulting (general); Direct payment from the plan Service code 16 | 1230 W WASHINGTON ST STE 501 TEMPE, AZ 85281 | $40K |
| RYAN RAPP PACHECO & KELLEY, PLC NONE | Legal; Direct payment from the plan Service code 29 | 3200 N CENTRAL AVE STE 2250 PHOENIX, AZ 85012 | $32K |
| VISION SERVICE PLAN EIN 36-3560825 NONE | Other fees; Direct payment from the plan Service code 50 | — | $16K |
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 | 3,014 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,014 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,584 | $336K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,953 | $190K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,584 | $336K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,953 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.