No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 23-2710210 NONE | Plan Administrator; Claims processing; Insurance services Service code 12 | 151 FARMINGTON AVENUE RT 21 HARTFORD, CT 06156 | $408K |
| CHEIRON INC EIN 03-4215617 NONE | Consulting (general); Actuarial Service code 11 | 8300 GREENSBORO DRIVE, SUITE 800 TYSONS CORNER, VA 22102 | $61K |
| OPTUM CONNECTYOURCARE EIN 46-0891463 NONE | Custodial (other than securities) Service code 18 | 307 INTERNATIONAL CIRCLE HUNT VALLEY, MD 21030 | $7K |
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 | 1,068 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 27 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,095 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,681 | $1.3M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 1,062 | $160K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,422 | $331K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,422 | $331K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,681 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.