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 |
|---|---|---|---|
| DANIEL H. COOK ASSOCIATES, INC. EIN 11-2424843 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $100K |
| HODGSON RUSS EIN 16-0708550 NONE | Legal; Direct payment from the plan Service code 29 | — | $78K |
| BIG THINK SOLUTIONS INC. EIN 92-1637366 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $70K |
| FORVIS MAZARS,USA, LLP EIN 13-1459550 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $68K |
| JOSHUA DAYAN ESQ NONE | Legal; Direct payment from the plan Service code 29 | 8002 KEW GARDENS RD SUITE 902 KEW GARDENS, NY 11415 | $50K |
| O'CONNELL & ARONOWITZ EIN 14-1544660 NONE | Legal; Direct payment from the plan Service code 29 | RICHARD HARROW ESQ 54 STATE STREET ALBANY, NY 122072501 | $35K |
| WAGE PARITY ADMINISTRATION EIN 82-0631696 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $7K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 751 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 751 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.