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 | Employee (plan); Direct payment from the plan Service code 30 | — | $255K |
| JOHN A. RICE JR. EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $158K |
| MICHAEL J. RILEY EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $137K |
| ROBERT M. CASSESSO JR. EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| JENNIFER L. FEARNLEY EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| LAW OFFICE OF PATRICK J. DEVINE EIN 02-0448499 NONE | Legal; Direct payment from the plan Service code 29 | — | $102K |
| ANDREA T. DUNN EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| KELLY M. WALSH EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| MICHELLE ALPERS EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| MONICA A. PROIA EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| TAMMI L. CAMPBELL O'BRIEN EIN 04-6357603 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| CMIT SOLUTIONS EIN 27-0903009 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $52K |
| DAVIS LE EIN 04-6357603 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $35K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $29K |
| LAW OFFICES OF JULIE A. LYNCH PC EIN 36-4753876 NONE | Legal; Direct payment from the plan Service code 29 | — | $23K |
| CORRENTE LAW CORP EIN 06-1484539 NONE | Legal; Direct payment from the plan Service code 29 | — | $23K |
| CISSERO LAW NONE | Legal; Direct payment from the plan Service code 29 | 36 ELM HILL AVE BOSTON, MA 02121 | $15K |
| CASEY RAYE KARABIN NONE | Legal; Direct payment from the plan Service code 29 | 66 N SECOND STREET NEW BEDFORD, MA 02740 | $15K |
| JOHNSON SCLAFANI AND MORIARTY EIN 03-0497920 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $13K |
| LAW FIRM KERRY A. BAGNALL NONE | Legal; Direct payment from the plan Service code 29 | 91 SAMOSET STREET PLYMOTH, MA 02360 | $10K |
| LAW OFFICES OF JEAN L. WALSH NONE | Legal; Direct payment from the plan Service code 29 | 481 MAIN STREET SPRINGVALE, ME 04083 | $9K |
| CHADWICK FRICANO WEBER PLLC EIN 46-5444500 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| GERMAINE & BLASZKA P.A. EIN 02-0416812 NONE | Legal; Direct payment from the plan Service code 29 | — | $5K |
| SEGAL SELECT INSURANCE SERVICES INC | Insurance brokerage commissions and fees Service code 53 | — | $3K |
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 | 12,903 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 12,903 | 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.