No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS LIFE AND HEALTH EIN 95-4331852 | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing; Contract Administrator Service code 12 | 1351 WM HOWARD TAFT RD MAIL DROP 0H0401-B265 CINCINATTI, OH 45206 | $232K |
| GUMBINER SAVETT INC EIN 95-2875688 | Accounting (including auditing) Service code 10 | 1723 CLOVERFIELD BLVD SANTA MONICA, CA 90404 | $21K |
| HIXME INSURANCE SOLUTIONS, INC EIN 47-3663370 | Consulting (general) Service code 16 | 27489 AGOURA ROAD 100 AGOURA HILLS, CA 91301 | $16K |
| MERCER HEALTH & BENEFITS LLC EIN 34-2015463 | Consulting (general) Service code 16 | PO BOX 100260 PASADENA, CA 91189 | $13K |
| APEX DATA SYSTEMS EIN 86-0300983 | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 6464 E GRANT ROAD TUSCON, AZ 85715 | $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 | 661 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 661 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,162 | $207K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,162 | — |
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."
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.