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 |
|---|---|---|---|
| JOINT INDUSTRY BOARD EIN 13-0891035 PLAN ADMINISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $1.2M |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 NONE | Investment management; Direct payment from the plan Service code 28 | — | $145K |
| SEIX INVESTMENTS ADVISORS LLC EIN 95-4191764 NONE | Investment management; Direct payment from the plan Service code 28 | — | $83K |
| ALLIANT INSURANCE EIN 33-0785439 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $50K |
| DEUTSCHE BANK EIN 13-6065488 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $29K |
| LOOP CAPITAL MARKETS LLC EIN 46-4402822 NONE | Investment management; Direct payment from the plan Service code 28 | — | $26K |
| H&H GRAPHIC PRINTING COMMUNICATION EIN 27-0771521 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $17K |
| COHEN WEISS AND SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| SEGAL MARCO EIN 13-2646110 NONE | Direct payment from the plan; Investment management Service code 28 | — | $6K |
| STATE STREET BANK & TRUST CO EIN 04-1867445 NONE | Other fees; Investment management; Direct payment from the plan Service code 28 | — | $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 | 950 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7,667 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4,342 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,959 | 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.