No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DMC INSURANCE ADMINISTRATORS EIN 94-3115552 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $275K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $54K |
| MILLIMAN USA EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $44K |
| SALTZMAN & JOHNSON EIN 94-2376174 NONE | Legal; Direct payment from the plan Service code 29 | — | $29K |
| UNITED CONCORDIA EIN 25-1687586 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $21K |
| MAMMINI COMPANY INC. EIN 47-0879697 NONE | Consulting (general); Investment advisory (plan); Investment management fees paid directly by plan; Custodial (securities) Service code 16 | — | $21K |
| TEAMSTERS ASSISTANCE PROGRAM EIN 68-0048516 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| LARRY MORRISON EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $11K |
| JAMES BEARD EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $11K |
| TIM BREKKE EIN 94-6102389 TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $8K |
| THOMAS DILLON EIN 94-6102389 TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $7K |
| JOSE NUNEZ EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $5K |
| COREY TACCONI EIN 94-6102389 TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $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 | 645 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 656 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 613 | $54K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 250 | $7K |
| Other(3 contracts, 2 carriers) | LANDMARK HEALTHPLAN | 400 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,145 | — |
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.