No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAINE STATE EMPLOYEES ASSOCIATION EIN 01-0204000 SPONSOR/ADMINISTRATOR | Contract Administrator; Plan Administrator Service code 13 | 65 STATE STREET AUGUSTA, ME 043305126 | $153K |
| HEALTH PLANS, INC EIN 04-2734278 NONE | Claims processing Service code 12 | PO BOX 5199 WESTBOROUGH, MA 01581 | $89K |
| EATON PEABODY EIN 01-0373027 NONE | Legal Service code 29 | 77 SEWALL STREET 3000 AUGUSTA, ME 04330 | $26K |
| KEYBANK NATIONAL ASSOCIATION EIN 34-6514544 NONE | Custodial (securities) Service code 19 | COMMERCIAL ST PORTLAND, ME 04101 | $21K |
| RUNYON KERSTEEN OUELLETTE EIN 01-0440155 NONE | Accounting (including auditing) Service code 10 | 20 LONG CREEK DRIVE SOUTH PORTLAND, ME 04106 | $21K |
| JON CAMIRE (508-725-9726) NONE | Actuarial Service code 11 | 305 EAST 63RD ST, UNIT 8G NEW YORK, NY 10065 | $7K |
| EMPLOYEE BENEFIT SOLUTIONS EIN 01-0281936 NONE | Consulting (pension) Service code 17 | 1085 BRIGHTON AVE PORTLAND, ME 04102 | $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 | 5,011 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,011 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.