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 |
|---|---|---|---|
| DIBNE LLC EIN 88-1615051 NONE | Other services; Direct payment from the plan Service code 49 | — | $122K |
| INTERNATIONAL BROTHERHOOD TEAMSTERS EIN 53-0215427 RELATED PARTY | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $95K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $29K |
| PILLAR RX CONSULTING LLC EIN 83-0714696 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $21K |
| ALAN D. BILLER & ASSOCIATES INC EIN 94-2854958 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $18K |
| FEINBERG, DUMONT & BRENNAN EIN 85-4344180 NONE | Legal; Direct payment from the plan Service code 29 | — | $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 | 1,251,183 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 500,000 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,751,183 | 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.