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 | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| EMPLOYEE G EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| EMPLOYEE H EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| EMPLOYEE A EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| EMPLOYEE F EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| EMPLOYEE L EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $76K |
| EMPLOYEE D EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| MHA OF MARYLAND NONE | Direct payment from the plan; Other fees Service code 50 | 1301 YORK ROAD TIMONIUM, MD 21093 | $66K |
| EMPLOYEE I EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| EMPLOYEE C EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| EMPLOYEE O EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| EMPLOYEE N EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| EMPLOYEE P EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $46K |
| EMPLOYEE K EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $26K |
| EMPLOYEE Q EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $26K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $22K |
| RC3P TECH LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 7 OVERLOOK TER. SIMSBURY, CT 06070 | $19K |
| MEDICAL TRAINING CONSULTANTS, LLC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 521 WOLCOTT ST. WATERBURY, CT 06705 | $17K |
| PROFILES INTERNATIONAL, LLC EIN 13-5593032 NONE | Direct payment from the plan; Other fees Service code 50 | 510 N. VALLEY MILLS DR, SUITE 600 WACO, TX 76710 | $9K |
| PROGRESSIVE BENEFIT SOLUTIONS LLC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 14 BUSINESS PARK DR. 38 BRANFORD, CT 06405 | $7K |
| UNION PRINTING NONE | Direct payment from the plan; Other services Service code 49 | 45 WESTRIDGE DRIVE WATERBURY, CT 06708 | $7K |
| LINDA VANNONI NONE | Other fees; Direct payment from the plan Service code 50 | 3688 HEBRON AVE. GLASTONBURY, CT 06033 | $6K |
| H-CAP EDUCATION ASSOCIATION EIN 46-4604754 NONE | Direct payment from the plan; Other services Service code 49 | — | $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 | 5,121 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,121 | 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.