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 |
|---|---|---|---|
| EMPLOYEE EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $453K |
| L-S GERONTOLOGY NONE | Direct payment from the plan; Other services Service code 49 | 840 SHORE ROAD #2A LONG BEACH, NY 11561 | $40K |
| CAPITAL COMMUNITY COLLEGE NONE | Other services; Direct payment from the plan Service code 49 | 90 MAIN STREET HARTFORD, CT 06103 | $27K |
| HARTY PRESS EIN 06-0768090 NONE | Other services; Direct payment from the plan Service code 49 | — | $27K |
| STAMFORD ADULT & CONT ED NONE | Other services; Direct payment from the plan Service code 49 | 369 WASHINGTON BLVD STAMFORD, CT 06902 | $24K |
| BUCKLEY, FRAME, BOUDREAU & CO EIN 06-0931761 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $23K |
| LAW FIRM OF JOHN M. CREANE EIN 06-0941734 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
| EDMENTUM EIN 41-1646390 NONE | Other services; Direct payment from the plan Service code 49 | 5600 WEST 83RD ST, SUITE 300 8200 TOWER BLOOMINGTON, MN 55437 | $14K |
| DENISE B. SCOTT, LLC NONE | Other services; Direct payment from the plan Service code 49 | 2 KIEL AVE #222 KINNELON, NJ 07405 | $10K |
| GATEWAY COMMUNITY COLLEGE NONE | Other services; Direct payment from the plan Service code 49 | 20 CHURCH STREET NEW HAVEN, CT 06510 | $9K |
| CENTERPOINT WELLNESS NONE | Direct payment from the plan; Other services Service code 49 | 92 N. SUMMIT STREET SOUTHINGTON, CT 06489 | $8K |
| LAURA CHENVEN NONE | Other services; Direct payment from the plan Service code 49 | 3850 SEDGEWICK AVE, APT 10 D BRONX, CT 10463 | $6K |
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 | 5,563 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,563 | 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.