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 |
|---|---|---|---|
| DANIEL KIRWIN JR. EIN 04-6374405 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $199K |
| RICHARD ROTHWELL EIN 04-6374405 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| MICHAEL YOUNG EIN 04-6374405 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| H&H BUILDERS, INC. NONE | Direct payment from the plan; Other services Service code 49 | 22 RESERVOIR PARK DRIVE ROCKLAND, MA 02370 | $11K |
| ASBESTOS WORKERS UNION LOCAL 6 EIN 04-1472045 EMPLOYEE ORGANIZATION | Plan Administrator; Direct payment from the plan Service code 14 | — | $8K |
| SEGAL ROITMAN, LLP EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $7K |
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 | 603 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 603 | 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.