See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 16 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 8 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA US HEALTH CARE EIN 06-6033492 CONTRACT ADMINISTRATION | Contract Administrator; Direct payment from the plan Service code 13 | — | $4.8M |
| ANTHEM BLUE CROSS LIFE AND HEALTH EIN 95-4331852 CLAIMS ADMINISTRATOR | Contract Administrator; Participant communication; Claims processing Service code 12 | — | $3.7M |
| EXPRESS SCRIPTS EIN 22-3461740 CLAIMS PROCESSING | Claims processing Service code 12 | — | $1.4M |
| LIMEADE, INC. EIN 06-1771116 CONSULTING | Employee (plan); Consulting fees; Direct payment from the plan Service code 30 | — | $1.2M |
| MERCER EIN 34-2015463 CONSULTANT | Direct payment from the plan; Participant communication; Contract Administrator Service code 13 | — | $708K |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 CLAIMS ADMINISTRATOR | Float revenue; Contract Administrator; Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $471K |
| GROUND ROUND INC. EIN 45-3580052 CONSULTANT | Contract Administrator Service code 13 | — | $468K |
| RX SAVINGS SOLUTIONS EIN 26-3642434 CONSULTANT | Contract Administrator Service code 13 | — | $377K |
| HEADSPACE CONSULTANT | Contract Administrator Service code 13 | 2415 MICHIGAN AVENUE SANTA MONICA, CA 90404 | $216K |
| WAGEWORKS INC. EIN 20-0198855 COBRA ADMINSTRATION | Direct payment from the plan; Claims processing Service code 12 | — | $181K |
| HEALTH ADVOCATE EIN 23-3080019 CONTRACT ADMINISTRATION | Direct payment from the plan; Participant communication; Contract Administrator Service code 13 | — | $130K |
| BUDCO EIN 38-1622051 CONSULTANT | Claims processing Service code 12 | — | $108K |
| CLICK THERAPUTICS EIN 45-5061643 CONSULTANT | Other fees Service code 99 | — | $48K |
| ELLIOTT DAVIS, LLC EIN 57-0381582 ACCOUNTING | Consulting fees; Direct payment from the plan Service code 50 | — | $9K |
| SAN FRANCISCO CITY OPTION OTHER | Other fees Service code 99 | P.O. BOX 194367 SAN FRANCISCO, CA 94119 | $9K |
| US BANK NATIONAL ASSOCIATION EIN 31-0841368 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $8K |
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 | 27,369 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 27,369 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 448 | $3.3M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 5,646 | $4.6M |
| Life insurance(3 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 47,897 | $17.3M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 193 | $62K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 12,291 | $6.1M |
| Other(4 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 27,925 | $5.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 47,897 | — |
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."
No prospect flags tripped on this filing.