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 |
|---|---|---|---|
| UNITED SERVICE WORKERS UNION, IUJAT EIN 11-3040611 AFFILIATED UNION | Other services; Direct payment from the plan Service code 49 | — | $1.7M |
| UNITED WELFARE FUND - WELFARE DIVIS EIN 11-1823976 AFFILIATED BENEFITS FUND | Direct payment from the plan; Other services Service code 49 | — | $627K |
| INTERNATIONAL UNION OF JOURNEYMAN A EIN 71-0301129 AFFILIATED UNION | Direct payment from the plan; Other services Service code 49 | — | $333K |
| ROTHMAN, ROCCO, LARUFFA, LLP EIN 47-5401457 NONE | Legal; Direct payment from the plan Service code 29 | — | $265K |
| BLACKROCK INVESTMENT MGMT, LLC EIN 20-5319476 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $260K |
| PROSKAUER ROSE, LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $98K |
| SERVICE PROFESSIONALS UNION LOC 726 EIN 13-4075932 AFFILIATED UNION | Other services; Direct payment from the plan Service code 49 | — | $91K |
| HSBC BANK USA NA EIN 20-1177241 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $61K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $54K |
| DAHAB ASSOCIATES EIN 11-2783874 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $40K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $9K |
| THE SHORE PRESS EIN 11-2839530 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 | 11,239 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,238 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 556 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 17,033 | 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.