No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE EIN 36-2739571 CLAIM ADMINISTRATOR | Claims processing Service code 12 | — | $916K |
| SUN LIFE INSURANCE COMPANY EIN 38-1082080 STOP LOSS ADMINISTRATOR | Claims processing Service code 12 | — | $332K |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(14 contracts, 13 carriers) | INDEPENDENT BLUE CROSS | 1,720 | $32.9M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 6,001 | $215K |
| Vision | VISION SERVICE PLAN | 4,945 | $640K |
| Life insurance(4 contracts, 2 carriers) | METROPOLITAN INSURANCE COMPANY | 16,908 | $2.6M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 3,929 | $1.7M |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 3,929 | $1.7M |
| Prescription drug(11 contracts, 10 carriers) | INDEPENDENT BLUE CROSS | 1,720 | $26.0M |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,607 | $339K |
| Other(5 contracts, 3 carriers) | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | 8,207 | $374K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,908 | — |
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.