No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $268K |
| ZELIS CLAIMS INTEGRITY, INC EIN 86-1040704 NONE | Other fees Service code 99 | — | $166K |
| IMAGINE HEALTH EIN 26-4343123 NONE | Other fees Service code 99 | — | $117K |
| FIRST HEALTH GROUP CORP. EIN 20-1736437 NONE | Other fees Service code 99 | — | $68K |
| WELLS FARGO ADVISORS EIN 34-1542819 NONE | Custodial (securities); Investment advisory (plan) Service code 19 | — | $62K |
| SEGAL CONSULTING EIN 94-1503999 NONE | Consulting (general); Actuarial Service code 11 | — | $52K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $49K |
| MONDRESS MONACO PARR LOCKWOOD EIN 91-1917286 NONE | Legal Service code 29 | — | $44K |
| DELAWARE CAPITAL MANAGEMENT EIN 23-3061021 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $31K |
| GRANDFLOW, INC. EIN 94-3211239 NONE | Copying and duplicating Service code 36 | — | $22K |
| US BANK EIN 31-0841368 NONE | Other fees Service code 99 | — | $17K |
| AMERICAN HEALTH GROUP EIN 86-0494854 NONE | Other fees Service code 99 | — | $14K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $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 | 1,271 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 138 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,409 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,290 | $54K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,339 | $395K |
| Other(2 contracts, 2 carriers) | BLOMQUIST HALE | 1,416 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,416 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.