No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ENVISION RX EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $433K |
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Accounting (including auditing) Service code 10 | — | $290K |
| MULTIPLAN, INC EIN 13-3068979 NONE | Other services; Direct payment from the plan Service code 49 | — | $70K |
| KAUFMANN AND GOBLE ASSOC, INC EIN 94-2614826 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $64K |
| ZELIS CLAIMS INTEGRITY, INC EIN 86-1040704 NONE | Direct payment from the plan; Other services Service code 49 | — | $60K |
| BERRY & CO., CPA'S EIN 88-0400174 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $59K |
| INNOVATIVE CARE MGMT, INC EIN 93-1087669 NONE | Direct payment from the plan; Other services Service code 49 | — | $34K |
| BLEIWEISS COMMUNICATIONS INC EIN 95-3676526 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $32K |
| INNOVATIVE HEALTHCARE DELIVERY EIN 45-4308529 NONE | Other services; Direct payment from the plan Service code 49 | — | $30K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Other investment fees and expenses; Custodial (securities); Direct payment from the plan Service code 19 | — | $24K |
| CHRISTENSEN JAMES & MARTIN, CHTD EIN 88-0330040 NONE | Legal; Direct payment from the plan Service code 29 | — | $21K |
| HEALTH CLAIM AUDITORS, INC EIN 88-0420540 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $13K |
| NEW ENGLAND PENSION CONSULTANTS LLC EIN 26-1429809 NONE | Direct payment from the plan; Investment advisory (plan); Consulting (general) Service code 16 | — | $11K |
| BEHAVIORAL HEALTHCARE OPTIONS, INC EIN 88-0267857 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| THE VIRTUOUS GROUP LLC EIN 27-0365275 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $6K |
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 | 385 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 465 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE CO. | 99 | $101K |
| Dental | ALPHA DENTAL OF NEVADA, INC. | 705 | $130K |
| Vision | VISION SERVICE PLAN | 399 | $7K |
| Life insurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE CO. | 917 | $21K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE CO. | 327 | $234K |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE CO. | 917 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 917 | — |
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.