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 |
|---|---|---|---|
| DONNA D. FEDUS NONE | Direct payment from the plan; Consulting (general) Service code 16 | P.O. BOX 1099 MADISON, CT 06443 | $191K |
| EMPLOYEE B EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $127K |
| EMPLOYEE F EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| WACS CONSULTING LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 1740 MCINTRYRE ST ANN ARBOR, MI 48105 | $107K |
| EMPLOYEE H EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| EMPLOYEE A EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $99K |
| EMPLOYEE Q EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| EMPLOYEE O EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| EMPLOYEE P EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| EMPLOYEE D EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| EMPLOYEE I EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| CONNECTICUT CONVENTION CENTER NONE | Other services; Direct payment from the plan Service code 49 | 100 COLUMBUS BLVD HARTFORD, CT 06103 | $70K |
| EMPLOYEE C EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| THREE RIVERS COMMUNITY COLLEGE NONE | Other services; Direct payment from the plan Service code 49 | 574 NEW LONDON TURNPIKE NORWICH, CT 06360 | $54K |
| RC3P TECH LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 7 OVERLOOK TER. SIMSBURY, CT 06070 | $53K |
| EMPLOYEE N EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| EMPLOYEE S EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $46K |
| H-CAP EDUCATION ASSOCIATION EIN 46-4604754 NONE | Other services; Direct payment from the plan Service code 49 | — | $39K |
| EMPLOYEE R EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $38K |
| TRANSFORMATIVE LDRSP STRATEGIES NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 370552 WEST HARFORD, CT 06137 | $32K |
| EMPLOYEE G EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $28K |
| THE FOGARTY CENTER NONE | Other services; Direct payment from the plan Service code 49 | 310 MAPLE AVE SUITE 102 BARRINGTON, RI 02806 | $27K |
| SWIFT RIVER CONSULTING LLC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 4207 SE WOODSTOCK BLVD., STE 248 PORTLAND, OR 97206 | $26K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $26K |
| UNION PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 45 WESTRIDGE DRIVE WATERBURY, CT 06708 | $24K |
| BOSTON UNIVERSITY EIN 04-2103547 NONE | Other services; Direct payment from the plan Service code 49 | — | $22K |
| SALESFORCE.COM, INC. EIN 94-3320693 NONE | Direct payment from the plan; Other services Service code 49 | — | $20K |
| INTERPRETERS AND TRANSLATORS, INC. EIN 06-1165742 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| WETHERSFIELD HISTORICAL SOCIETY NONE | Other services; Direct payment from the plan Service code 49 | 150 MAIN ST WETHERSFIELD, CT 06109 | $11K |
| COMPLETE CARE - GLENDALE NONE | Direct payment from the plan; Other services Service code 49 | 4 HAZEL AVE NAUGATUCK, CT 06770 | $11K |
| ALZHEIMER'S ASSOCIATION EIN 13-3039601 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| PROGRESSIVE BENEFIT SOLUTIONS NONE | Other services; Direct payment from the plan Service code 49 | 14 BUSINESS PARK DR 38 BRANFORD, CT 06405 | $9K |
| HARDBALL PRESS NONE | Other services; Direct payment from the plan Service code 49 | 415 ARGYLE RD, SUITE 6A BROOKLYN, NY 11218 | $9K |
| LAW OFFICE OF JOHN M CREANE EIN 06-0941734 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| INSUREON SPECIALTY PROGRAM GROUP NONE | Other services; Direct payment from the plan Service code 49 | 203 N. LASALLE, 20TH FLOOR CHICAGO, IL 60601 | $6K |
| CANON FINANCIAL SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 158 GAITHER DRIVE MOUNT LAUREL, NJ 08054 | $6K |
| B&F CONSULTING NONE | Consulting (general); Direct payment from the plan Service code 16 | 2805 TOBERMORY LANE RALEIGH, NC 27606 | $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 | 7,062 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 7,062 | 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.