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 | — | $1.1M |
| 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 | — | $412K |
| RENALOGIC NONE | Other services; Direct payment from the plan Service code 49 | — | $171K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Direct payment from the plan; Other services Service code 49 | — | $93K |
| BERRY & CO., CPA'S LTD EIN 88-0400174 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $88K |
| NORTHWEST PLAN SERVICES EIN 91-2090931 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $66K |
| INNOVATIVE CARE MGMT, INC EIN 93-1087669 NONE | Consulting (general); Direct payment from the plan; Other services Service code 16 | — | $46K |
| CHRISTENSEN JAMES & MARTIN, CHTD EIN 88-0330040 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| MULTIPLAN, INC EIN 13-3068979 NONE | Direct payment from the plan; Other services Service code 49 | — | $30K |
| BLEIWEISS COMMUNICATIONS INC EIN 95-3676526 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $18K |
| BEHAVIORAL HEALTHCARE OPTIONS, INC EIN 88-0267857 NONE | Direct payment from the plan; Other services Service code 49 | — | $14K |
| SMART SOURCE EIN 30-0830429 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $13K |
| NEPC, LLC EIN 26-1429809 NONE | Investment advisory (plan); Consulting (general); Direct payment from the plan Service code 16 | — | $11K |
| HINGE HEALTH, INC. EIN 81-1884841 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| ALLIANT INSURANCE SERVICES EIN 33-0785439 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $8K |
| PRINCIPAL TRUST COMPANY EIN 51-0099493 NONE | Direct payment from the plan; Custodial (securities); Other investment fees and expenses Service code 19 | — | $3K |
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 | 683 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 69 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 752 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HUMANA INSURANCE CO. | 87 | $277K |
| Dental | ALPHA DENTAL OF NEVADA, INC. | 679 | $138K |
| Vision | VISION SERVICE PLAN | 708 | $11K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 655 | $27K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INS CO. | 655 | $230K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 655 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 708 | — |
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.