No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN. SVC., INC. EIN 91-1363171 NONE | Other fees; Claims processing; Contract Administrator; Copying and duplicating; Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $3.7M |
| PREMERA EIN 91-0499247 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.8M |
| ELIXIR RX SOLUTIONS, LLC EIN 90-1011712 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $367K |
| COMAGINE HEALTH EIN 91-1072875 NONE | Direct payment from the plan; Other services Service code 49 | — | $223K |
| ZELIS CLAIMS INTEGRITY EIN 47-4319823 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $221K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $114K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan; Actuarial; Insurance agents and brokers Service code 11 | — | $114K |
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 NONE | Named fiduciary; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Participant communication; Other services; Float revenue; Claims processing Service code 12 | — | $109K |
| CHANGE HEALTHCARE SOLUTIONS LLC EIN 20-5731067 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $84K |
| ALAFFIA HEALTH NONE | Direct payment from the plan; Claims processing Service code 12 | 169 MADISON AVE #2409 NEW YORK, NY 10016 | $73K |
| WASHINGTON CAPITAL MANAGEMENT, INC. EIN 91-1042342 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $45K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $36K |
| VERUS ADVISORY INC. EIN 91-1320111 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $33K |
| VIVACITY, INC. NONE | Direct payment from the plan; Claims processing Service code 12 | P.O. BOX 743979 LOS ANGELES, CA 900743979 | $25K |
| BANK OF AMERICA NA EIN 94-1687665 NONE | Direct payment from the plan; Custodial (other than securities); Float revenue Service code 18 | — | $22K |
| HEALTH CARE COST MGMT CORP EIN 94-3283661 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $10K |
| US BANK NATIONAL ASSOC. EIN 31-0841368 NONE | Direct payment from the plan; Shareholder servicing fees; Custodial (securities); Float revenue Service code 19 | — | $5K |
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 | 5,697 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 893 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,590 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFEMAP ASSURANCE COMPANY | 6,041 | $735K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 6,465 | $691K |
| Other | LIFEMAP ASSURANCE COMPANY | 6,041 | $735K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,465 | — |
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.