No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ELIXIR RX SOLUTIONS, LLC EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.0M |
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Claims processing; Contract Administrator; Direct payment from the plan; Participant communication; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $432K |
| RENALOGIC, INC. EIN 22-3857341 NONE | Other fees; Other services; Direct payment from the plan Service code 49 | — | $98K |
| MULTIPLAN, INC. EIN 13-3068979 NONE | Direct payment from the plan; Other services; Other fees Service code 49 | — | $84K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Other fees; Direct payment from the plan; Other services Service code 49 | — | $80K |
| BERRY & CO., CPA'S LTD EIN 88-0400174 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $78K |
| NORTHWEST PLAN SERVICES EIN 91-2090931 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $68K |
| INNOVATIVE CARE MGMT, INC EIN 93-1087669 NONE | Consulting (general); Direct payment from the plan; Other services; Other fees Service code 16 | — | $62K |
| CHRISTENSEN JAMES & MARTIN, CHTD EIN 88-0330040 NONE | Legal; Direct payment from the plan Service code 29 | — | $41K |
| BUCK GLOBAL, LLC EIN 83-1116912 NONE | Consulting (general); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
| BLEIWEISS COMMUNICATIONS INC EIN 95-3676526 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $17K |
| BEHAVIORAL HEALTHCARE OPTIONS, INC. EIN 88-0267857 NONE | Other fees; Direct payment from the plan; Other services Service code 49 | — | $17K |
| IHD HOLDINGS, LLC EIN 84-4865867 NONE | Other fees; Direct payment from the plan; Other services; Consulting (general) Service code 16 | — | $15K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Other fees; Consulting (general); Direct payment from the plan; Other services Service code 16 | — | $13K |
| SMART SOURCE EIN 30-0830429 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $12K |
| NEPC, LLC EIN 26-1429809 NONE | Direct payment from the plan; Investment advisory (plan); Consulting (general) Service code 16 | — | $11K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Other fees; Direct payment from the plan; Other services Service code 49 | — | $11K |
| ALLIANT INSURANCE SERVICES EIN 33-0785439 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $8K |
| HINGE HEALTH, INC. EIN 81-1884841 NONE | Other fees; Other services; Direct payment from the plan Service code 49 | — | $6K |
| PRINCIPAL TRUST COMPANY EIN 51-0099493 NONE | Direct payment from the plan; Other investment fees and expenses; Custodial (securities) Service code 19 | — | $3K |
| BNY MELLON EIN 25-6078093 NONE | Investment management; Trustee (bank, trust company, or similar financial institution); Sub-transfer agency fees; Direct payment from the plan Service code 21 | — | $107 |
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 | 757 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 68 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 825 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HUMANA INSURANCE CO. | 87 | $278K |
| Dental | ALPHA DENTAL OF NEVADA, INC. | 224 | $153K |
| Vision | VISION SERVICE PLAN | 661 | $13K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,704 | $33K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE CO. | 606 | $280K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 1,704 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,704 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.