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 |
|---|---|---|---|
| UNITED HEALTH CARE INSURANCE CO EIN 39-1995276 CONTRACT ADMINISTRATOR | Claims processing; Other fees; Other insurance fees and expenses Service code 12 | — | $16.3M |
| LYRA CLINICAL ASSOCIATES, P.C. EIN 47-5645538 CONTRACT ADMINISTRATOR | Direct payment from the plan; Other services Service code 49 | — | $5.2M |
| EYEMED EIN 36-2136262 CONTRACT ADMINISTRATOR | Other insurance fees and expenses; Claims processing; Other fees Service code 12 | — | $5.0M |
| PREMISE HEALTH EMPLOYER SOLUTIONS EIN 23-3057155 CONTRACT ADMINISTRATOR | Other fees; Other insurance fees and expenses; Claims processing Service code 12 | — | $4.9M |
| HARVARD PILGRIM HEALTH CARE EIN 04-2452600 CONTRACT ADMINISTRATOR | Claims processing; Other insurance fees and expenses; Other fees Service code 12 | — | $1.4M |
| CVS CAREMARK EIN 05-0340626 CONTRACT ADMINISTRATOR | Claims processing; Other fees; Other insurance fees and expenses Service code 12 | — | $1.4M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CONTRACT ADMINISTRATOR | Contract Administrator; Other fees; Claims processing; Other insurance fees and expenses Service code 12 | — | $1.3M |
| LYRA HEALTH, INC. EIN 47-2935915 CONTRACT ADMINISTRATOR | Other services; Direct payment from the plan Service code 49 | — | $961K |
| HUMANA INC. EIN 39-1263473 CONTRACT ADMINISTRATOR | Other fees; Other insurance fees and expenses; Claims processing Service code 12 | — | $565K |
| SELECTHEALTH EIN 87-0409820 CONTRACT ADMINISTRATOR | Claims processing; Other fees; Other insurance fees and expenses Service code 12 | — | $259K |
| OPTUMHEALTH CARE SOLUTIONS, LLC EIN 41-1591944 CONTRACT ADMINISTRATOR | Other fees; Claims processing Service code 12 | — | $22K |
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 | 49,231 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 246 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 49,477 | 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.