No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN. SVC., INC. EIN 91-1363171 NONE | Copying and duplicating; Accounting (including auditing); Claims processing; Direct payment from the plan; Contract Administrator Service code 10 | — | $2.2M |
| PREMERA EIN 91-0499247 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.2M |
| ENVISION RX EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $183K |
| EKMAN CUSHING MAXWELL, PS EIN 91-1321138 NONE | Other services; Legal; Direct payment from the plan Service code 29 | — | $163K |
| QUALIS HEALTH EIN 91-1072875 NONE | Other services; Direct payment from the plan Service code 49 | — | $136K |
| CIGNA HEALTH & LIFE INS COMP EIN 59-1031071 NONE | Participant communication; Float revenue; Named fiduciary; Contract Administrator; Non-monetary compensation; Claims processing; Other services; Direct payment from the plan Service code 12 | — | $77K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $72K |
| CHANGE HEALTHCARE EIN 20-5731067 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $53K |
| VERUS ADVISORY INC. EIN 91-1320111 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $30K |
| WASHINGTON CAPITAL MANAGEMENT, INC. EIN 91-1042342 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $29K |
| HCCMCA EIN 94-3283661 NONE | Other services; Direct payment from the plan Service code 49 | — | $28K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $22K |
| KEYBANK NATIONAL ASSOCIATION EIN 34-0797057 NONE | Shareholder servicing fees; Float revenue; Custodial (securities); Direct payment from the plan Service code 19 | — | $18K |
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 | 5,231 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 663 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 361 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,255 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFEMAP ASSURANCE COMPANY | 4,556 | $426K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 4,556 | $426K |
| Stop-loss / reinsurancereinsurance | TRANSAMERICA LIFE | 4,876 | $1.2M |
| Other | LIFEMAP ASSURANCE COMPANY | 4,556 | $426K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,876 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.