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 |
|---|---|---|---|
| MARY P. O'MALLEY EIN 04-6357603 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $216K |
| RICHARD A. PETISCE EIN 04-6357603 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| JOHN A. RICE, JR. EIN 04-6357603 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| MICHAEL J. RILEY EIN 04-6357603 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $112K |
| ROSEMARIE VESPA EIN 04-6357603 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| ROBERT M. CASSESSO, JR. EIN 04-6357603 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| JENNIFER L.M. FEARNLEY EIN 04-6357603 EMPLOYEE | Legal; Direct payment from the plan Service code 29 | — | $92K |
| MICHELLE MACLELLAN EIN 04-6357603 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| KELLY M. WALSH EIN 04-6357603 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| TAMMI L. CAMPBELL O'BRIEN EIN 04-6357603 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| MONICA ACOSTA PROIA EIN 04-6357603 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| ROBERT M. FUSTER, ATTORNEY AT LAW EIN 27-1784148 NONE | Legal; Direct payment from the plan Service code 29 | — | $44K |
| LAW OFFICES OF PATRICK J. DEVINE,PC EIN 02-0448499 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| CROWE HORWATH, LLP EIN 35-0921680 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $21K |
| DARREN F. CORRENTE COUNSELOR AT LAW EIN 06-1484539 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| JOHNSON, SCLAFANI & MORIARTY EIN 03-0497920 NONE | Legal; Direct payment from the plan Service code 29 | — | $19K |
| LAW OFFICES OF DAVID A. LADIZKI EIN 04-2803435 NONE | Legal; Direct payment from the plan Service code 29 | — | $17K |
| AHMED EL IDRISSI DBA TECHBOWIE INC. NONE | Direct payment from the plan; Other services Service code 49 | 200 ALLENS AVE. PROVIDENCE, RI 02903 | $15K |
| MEKETA INVESTMENT GROUP, INC. EIN 04-2659023 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $13K |
| FIRST INDEMNITY INSURANCE AGENCY EIN 04-3171344 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $10K |
| LAW OFFICE OF JOHN J.A. SCHREPFER EIN 02-0451214 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| THOMAS J. CHIROKAS, ATTORNEY EIN 26-3744442 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| THE MASTROGIACOMO LAW OFFICES, P.A. EIN 46-2799236 NONE | Legal; Direct payment from the plan Service code 29 | 134 MAIN STREET LEWISTON, ME 04240 | $7K |
| JOHN A. RASMUSSEN, ATTORNEY AT LAW EIN 04-1501675 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| SISTI LAW OFFICE EIN 02-0445143 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| LAW OFFICE OF DAVID E. HOYT EIN 04-3368538 NONE | Legal; Direct payment from the plan Service code 29 | — | $5K |
| SEGAL SELECT INSURANCE SERVICES | Insurance brokerage commissions and fees Service code 53 | — | $2K |
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 | 11,993 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 11,993 | 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.