No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUECROSS BLUE SHIELD OF AK EIN 91-0499247 N/A | Account maintenance fees; Contract Administrator; Direct payment from the plan Service code 13 | — | $92K |
| PEAK1 ADMINISTRATION LLC EIN 37-1668953 N/A | Direct payment from the plan; Contract Administrator Service code 13 | — | $38K |
| FIDELITY MGMT TRUST CO EIN 04-6568107 N/A | Direct payment from the plan; Actuarial Service code 11 | — | $37K |
| MOSS ADAMS LLP EIN 91-0189318 N/A | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $27K |
| MELLON GSS EIN 13-5160382 N/A | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Custodial (other than securities) Service code 18 | — | $18K |
| LABYRINTH HEALTHCARE GROUP EIN 72-1492391 N/A | Account maintenance fees; Direct payment from the plan Service code 50 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 151 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 151 | $247K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.