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 |
|---|---|---|---|
| GREAT WEST LIFE & ANNUITY INSURANCE EIN 84-0467907 CONTRACT ADMINISTRATOR | Sub-transfer agency fees; Other investment fees and expenses; Float revenue; Other services; Soft dollars commissions; Recordkeeping fees; Investment management fees paid indirectly by plan Service code 49 | — | $281K |
| LPL FINANCIAL - RP EIN 04-3046611 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | — | $94K |
| THE WAGNER LAW GROUP EIN 04-3323315 ATTORNEY | Consulting (general) Service code 16 | — | $16K |
| DICICCO, GULMAN & COMPANY, LLP EIN 04-3296226 AUDITOR | Accounting (including auditing) Service code 10 | — | $11K |
| ALLSPRING EIN 84-6615098 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| AMERICAN FUNDS EIN 95-1411037 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| CALVERT EIN 52-1233223 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| FIDELITY INVESTMENTS EIN 04-6056833 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| GOLDMAN SACHS EIN 13-4166989 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| INVESCO EIN 76-0343427 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| MASSACHUSETTS MUTUAL LIFE INS. CO. EIN 04-1590850 INVESTMENT PROVIDER | Other investment fees and expenses; Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| PIMCO FUNDS EIN 95-2632339 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| T. ROWE PRICE EIN 52-0791372 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| VANGUARD EIN 23-1945930 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
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 | 1,667 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 559 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 2,252 | 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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.