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 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $229K |
| JOHN A. RICE JR. EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $143K |
| MICHAEL J. RILEY EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| ROBERT M. CASSESSO JR. EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| JENNIFER L. FEARNLEY EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| RICHARD A. PETISCE EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $100K |
| MICHELLE ALPERS EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| ROSEMARIE VESPA EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $82K |
| KELLY M. WALSH EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| TAMMI L. CAMPBELL O'BRIEN EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| MONICA A. PROIA EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| LAW OFFICE OF PATRICK J. DEVINE EIN 02-0448499 NONE | Legal; Direct payment from the plan Service code 29 | — | $45K |
| CMIT SOLUTIONS EIN 27-0903009 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $30K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $27K |
| DARREN F CORRENTE COUNSELOR AT LAW EIN 06-1484539 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| ROBERT M. FUSTER SR. ATTORNEY EIN 27-1784148 NONE | Legal; Direct payment from the plan Service code 29 | — | $18K |
| JOHNSON SCLAFANI AND MORIARTY EIN 03-0497920 NONE | Legal; Direct payment from the plan Service code 29 | — | $17K |
| KURDEK LAW OFFICE PLLC EIN 47-3937998 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| MEKETA INVESTMENT GROUP, INC. EIN 04-2659023 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $13K |
| JOHN A RASMUSSEN, ATTORNEY EIN 04-1501675 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| LAW OFFICES OF JULIE A. LYNCH, PC EIN 36-4753876 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
| ANTHONY S HARTNETT, ATTORNEY AT LAW NONE | Legal; Direct payment from the plan Service code 29 | 42 DOVER POINT RD DOVER, NH 03820 | $9K |
| LAW OFFICES OF JEAN L. WALSH EIN 47-2713980 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| FAIRFIELD & ASSOCIATES, P.A. EIN 26-3885966 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| THE MASTROGIACOMO LAW OFFICE EIN 46-2799236 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| DAVID SARGO EIN 04-6357603 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $6K |
| WAYSTACK FRIZZELL, TRIAL LAWYERS EIN 02-0405672 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| MICHAEL GAGLIARDI EIN 04-6357603 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $6K |
| LAW OFFICES OF CHERIE L. MCKENNA EIN 81-4062935 NONE | Legal; Direct payment from the plan Service code 29 | — | $5K |
| DONOVAN O'CONNOR AND DODIG LLP EIN 04-2198966 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 | 12,346 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 12,346 | 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.