No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ELIXIR RX SOLUTIONS, LLC EIN 90-1011712 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $705K |
| 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 | — | $307K |
| MULTIPLAN, INC EIN 13-3068979 NONE | Other services; Direct payment from the plan Service code 49 | — | $84K |
| BERRY & CO., CPA'S EIN 88-0400174 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $69K |
| KAUFMANN AND GOBLE ASSOC, INC EIN 94-2614826 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $65K |
| INNOVATIVE CARE MGMT, INC EIN 93-1087669 NONE | Consulting (general); Other services; Direct payment from the plan Service code 16 | — | $52K |
| CHRISTENSEN JAMES & MARTIN, CHTD EIN 88-0330040 NONE | Legal; Direct payment from the plan Service code 29 | — | $41K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Other services; Direct payment from the plan Service code 49 | — | $39K |
| IHD HOLDINGS, LLC EIN 84-4865867 NONE | Other services; Direct payment from the plan; Consulting (general) Service code 16 | — | $31K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Custodial (securities); Account maintenance fees; Other investment fees and expenses; Direct payment from the plan Service code 19 | — | $24K |
| BLEIWEISS COMMUNICATIONS INC EIN 95-3676526 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $23K |
| GRANDFLOW, INC EIN 94-3211239 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $17K |
| UNITED HEALTHCARE OPTIONS, INC EIN 88-0267857 NONE | Other services; Direct payment from the plan Service code 49 | — | $15K |
| HEALTH CLAIM AUDITORS, INC EIN 88-0420540 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $13K |
| NEPC, LLC EIN 26-1429809 NONE | Consulting (general); Investment advisory (plan); Direct payment from the plan Service code 16 | — | $11K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| THE VIRTUOUS GROUP LLC EIN 27-0365275 NONE | Consulting (general); Direct payment from the plan 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 | 665 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 73 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 738 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 91 | $300K |
| Dental | ALPHA DENTAL OF NEVADA, INC. | 841 | $198K |
| Vision | VISION SERVICE PLAN | 626 | $12K |
| Life insurance | SYMETRA LIFE INSURANCE CO. | 1,130 | $24K |
| Stop-loss / reinsurancereinsurance(2 contracts) | COMPANION LIFE COLUMBIA SC | 589 | $393K |
| Other | SYMETRA LIFE INSURANCE CO. | 1,130 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,130 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.