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 |
|---|---|---|---|
| EMPLOYEE A EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $180K |
| EMPLOYEE B EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $177K |
| EMPLOYEE C EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $162K |
| EMPLOYEE D EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $149K |
| EMPLOYEE E EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| EMPLOYEE F EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $121K |
| EMPLOYEE G EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| EMPLOYEE H EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| EMPLOYEE I EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| EMPLOYEE J EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| EMPLOYEE K EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| EMPLOYEE L EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| LAW OFFICE OF PATRICK J. DEVINE EIN 02-0448499 NONE | Legal; Direct payment from the plan Service code 29 | — | $60K |
| CMIT SOLUTIONS EIN 27-0903009 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $44K |
| EMPLOYEE M EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $34K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $34K |
| CISSERO LAW EIN 47-4201127 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| CORRENTE LAW CORP EIN 06-1484539 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| LAW OFFICE OF CHRISTINA VASSALLO EIN 93-3102248 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| LIDER, FOGARTY & RIBEIRO, P.C. NONE | Legal; Direct payment from the plan Service code 29 | 101 JEREMIAH V SULLIVAN DRIVE FALL RIVER, MA 02721 | $20K |
| MEKETA INVESTMENT GROUP, INC. EIN 04-2659023 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $16K |
| 617 MEDIA GROUP EIN 90-1252805 NONE | Direct payment from the plan; Other services Service code 49 | — | $14K |
| LAW OFFICES OF ELIZABETH J. QUIGLEY EIN 04-2891030 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
| COMCAST NONE | Direct payment from the plan; Consulting (general) Service code 16 | ONE COMCAST CENTER- 32ND FLOOR PHILADELPHIA, PA 19103 | $13K |
| FRICANO & WEBER PLLC EIN 88-3713820 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| SANDRA BLOOMENTHAL EIN 45-3142997 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| THE LAW OFFICE OF NEIL A. SMITH NONE | Legal; Direct payment from the plan Service code 29 | 193 MAIN STREET ATHOL, MA 01331 | $8K |
| BRUNAULT, PROULX & MCGUINNESS EIN 20-8287354 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| JOSEPH M. ANNUTTO NONE | Legal; Direct payment from the plan Service code 29 | 369 MAIN STREET NASHUA, NH 03060 | $7K |
| LAW OFFICE OF STEVEN M. DWYER NONE | Legal; Direct payment from the plan Service code 29 | 61 MAIN STREET STONEHAM, MA 02180 | $7K |
| THOMAS J CHIROKAS, ATTORNEY EIN 26-3744442 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| WENDALL GARDNER EIN 04-6357603 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $6K |
| LAW OFFICES OF JULIE A. LYNCH, PC EIN 36-4753876 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| CASEY RAYE KARABIN NONE | Legal; Direct payment from the plan Service code 29 | 66 N SECOND STREET NEW BEDFORD, MA 02740 | $5K |
| MICHAEL P. GAGLIARDI EIN 04-6357603 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $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 | 12,290 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 12,290 | 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."
No prospect flags tripped on this filing.