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 B EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $107K |
| EMPLOYEE L EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| EMPLOYEE H EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| EMPLOYEE A EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| EMPLOYEE F EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| EMPLOYEE D EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| EMPLOYEE N EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| EMPLOYEE G EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| EMPLOYEE J EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $39K |
| EMPLOYEE I EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| HARTY PRESS EIN 06-0768090 NONE | Other services; Direct payment from the plan Service code 49 | — | $30K |
| CAPITAL COMMUNITY COLLEGE EIN 06-1398052 NONE | Other services; Direct payment from the plan Service code 49 | — | $28K |
| EMPLOYEE C EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $27K |
| BUCKLEY FRAME BOUDREAU EIN 06-0931761 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $23K |
| JESSICA ESPINOZA PIERRE NONE | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | 5 CAPITOL RD. , APT. 2 MILFORD, MA 01757 | $20K |
| ICARE MANAGEMENT LLC EIN 91-2089152 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| GEEKS FOR GOOD EAST ,LLC NONE | Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | 71 NAUBUC AVENUE GLASTONBURY, CT 06033 | $15K |
| LAW OFFICE OF JOHN M CREANE EIN 06-0941734 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| QBS, INC. EIN 04-3300401 NONE | Consulting fees; Consulting (general); Direct payment from the plan Service code 16 | — | $11K |
| CENTERPOINT WELLNESS LLC NONE | Direct payment from the plan; Other services Service code 49 | 92 N SUMMIT STREET SOUTHINGTON, CT 06489 | $10K |
| LS GERONTOLOGY NONE | Direct payment from the plan; Other services Service code 49 | 840 SHORE RD, 2A LONG BEACH, NY 11561 | $10K |
| LIFEBRIDGE COMMUNITY SERVICES INC EIN 06-0646974 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| MANCHESTER COMMUNITY COLLEGE EIN 06-1269050 NONE | Other services; Direct payment from the plan Service code 49 | — | $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 | 5,025 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,025 | 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.