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 | Consulting (general); Direct payment from the plan Service code 16 | P.O. BOX 1099 MADISON, CT 06443 | $207K |
| EMPLOYEE B EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $125K |
| EMPLOYEE H EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $104K |
| EMPLOYEE A EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| EMPLOYEE Q EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| EMPLOYEE F EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| EMPLOYEE D EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| EMPLOYEE O EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| EMPLOYEE P EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| NAUGATUCK VALLEY COMMUNITY COLLEGE NONE | Direct payment from the plan; Other services Service code 49 | 750 CHASE PKWY WATERBURY, CT 06708 | $66K |
| EMPLOYEE C EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| EMPLOYEE L EIN 06-1163056 EMPLOYEE | Direct payment from the plan Service code 50 | — | $64K |
| RC3P TECH LLC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 7 OVERLOOK TER. SIMSBURY, CT 06070 | $57K |
| CAPITAL COMMUNITY COLLEGE EIN 06-1398052 NONE | Direct payment from the plan; Other services Service code 49 | — | $52K |
| EMPLOYEE I EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| EMPLOYEE G EIN 06-1163056 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| EMPLOYEE N EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| UNIVERSITY OF NEW ENGLAND EIN 01-0211810 NONE | Other services; Direct payment from the plan Service code 49 | — | $34K |
| EMPLOYEE R EIN 06-1163056 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $32K |
| TRANSFORMATIVE LDRSP STRATEGIES NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 370552 WEST HARFORD, CT 06137 | $31K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $21K |
| BOSTON UNIVERSITY EIN 04-2103547 NONE | Other services; Direct payment from the plan Service code 49 | — | $20K |
| INTERPRETERS AND TRANSLATORS, INC. EIN 06-1165742 NONE | Direct payment from the plan; Other services Service code 49 | — | $17K |
| UNION PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 45 WESTRIDGE DRIVE WATERBURY, CT 06708 | $16K |
| SWIFT RIVER CONSULTING LLC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 4207 SE WOODSTOCK BLVD., STE 248 PORTLAND, OR 97206 | $16K |
| SALESFORCE.COM, INC. EIN 94-3320693 NONE | Direct payment from the plan; Other services Service code 49 | — | $15K |
| H-CAP EDUCATION ASSOCIATION EIN 46-4604754 NONE | Other services; Direct payment from the plan Service code 49 | — | $15K |
| LOIS SCHARM-OSNOW NONE | Other services; Direct payment from the plan Service code 49 | 314 GREEN MOUNTAIN TRAIL, P.O. BOX LONDONBERRY, VT 05148 | $10K |
| ALZHEIMER'S ASSOCIATION EIN 13-3039601 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| THREE RIVERS COMMUNITY COLLEGE NONE | Other services; Direct payment from the plan Service code 49 | 574 NEW LONDON TURNPIKE NORWICH, CT 06360 | $8K |
| LAW OFFICE OF JOHN M CREANE EIN 06-0941734 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| RISING CAMPAIGNS, LLC NONE | Direct payment from the plan; Other services Service code 49 | 77 HUYSHOPE AVENUE HARTFORD, CT 061067000 | $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 | 5,405 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,405 | 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.