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 |
|---|---|---|---|
| BLACKSTONE MGMT PARTNERS L.L.C. EIN 26-0288589 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $94K |
| WILLIS TOWERS WATSON EIN 26-0775680 N/A | Other services; Direct payment from the plan Service code 49 | — | $26K |
| GRAYCLIFF PARTNERS LP EIN 36-4711561 RECRDKEPER | Investment management Service code 28 | — | $14K |
| CYPRIUM INVESTMENT PARTNERS LLC EIN 80-0560696 RECRDKEPER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $6K |
| ADAMS STREET CREDIT ADVISORS LP EIN 81-2633198 RECRDKEPER | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $0 |
| FIRST EAGLE ALTERNATIVE CREDIT LLC EIN 57-1156902 RECRDKEPER | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $0 |
| STONEPEAK ASSOCIATES III LLC EIN 82-3003270 RECRDKEPER | Legal; Direct payment from the plan Service code 29 | — | $0 |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,268 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.