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 |
|---|---|---|---|
| LOCAL 342 WELFARE FUND EIN 15-0559586 RELATED PARTY | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $1.3M |
| UFCW LOCAL 342 GROUP LEGAL FUND EIN 11-2547525 RELATED PARTY | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $870K |
| UFCW LOCAL 342 UNION EIN 11-1890603 RELATED PARTY | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $261K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $21K |
| EMMIDIO UNGARO NONE | Other fees; Other services Service code 49 | 775 ROSSVILLE AVE STATEN ISLAND, NY 10309 | $21K |
| JOCAR ELITE PROFESSIONALS, LLC EIN 93-3757544 NONE | Other services; Other fees Service code 49 | — | $21K |
| SOLARUS TECHNOLOGIES EIN 45-5263753 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $20K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| SIMON & MILNER EIN 93-3656105 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| NAKIESHA SMITH NONE | Consulting (general); Direct payment from the plan Service code 16 | 14031 VALLEY MILLS DR FRISCO, TX 75033 | $7K |
| COUNSEL ADVISORS INC EIN 93-2423182 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $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 | 6,817 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 6,817 | 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.