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 | — | $8.1M |
| ALLIANT INSURANCE SERVICES,INC EIN 33-0785439 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $437K |
| GYRUS SYSTEMS EIN 26-4522132 NONE | Other services; Direct payment from the plan Service code 49 | — | $144K |
| INSIGHT NORTH AMERICA, LLC EIN 82-0983489 NONE | Investment management; Direct payment from the plan Service code 28 | — | $52K |
| LUIS ORTEGA NONE | Direct payment from the plan; Other services Service code 49 | 158-11 HARRY VAN ARSDALE JR. AVENUE FLUSHING, NY 11365 | $51K |
| MARCUS AND POLLACK LLP EIN 20-2249613 NONE | Legal; Direct payment from the plan Service code 29 | — | $38K |
| TRALIANT HOLDINGS LLC EIN 85-4314864 NONE | Direct payment from the plan; Other services Service code 49 | — | $30K |
| DEUTSCHE BANK EIN 13-6065488 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $30K |
| MILLER PHOTOGRAPHY LTD EIN 20-2110182 NONE | Direct payment from the plan; Other services Service code 49 | — | $23K |
| CDW DIRECT EIN 36-3310735 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| FOREST ELECTRIC CORP EIN 13-2931692 NONE | Other services; Direct payment from the plan Service code 49 | — | $13K |
| LIBERTY MUTUAL INSURANCE NONE | Direct payment from the plan; Insurance services Service code 23 | PO BOX 85830 SAN DIEGO, CA 92186 | $13K |
| CON-EDISON EIN 13-5009340 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| ADWAR VIDEO / VIDEO HI-TECH EIN 11-2765013 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| HARRIS ENERGY SOLUTIONS LLC EIN 82-0801077 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| KOUTSOUBIS ALONSO ASSOCIATES PE PC EIN 11-3208427 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| NORTRIDGE SOFTWARE, LLC EIN 57-1230448 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| AWARDS AND TSHIRTS SPECIALISTS INC EIN 43-1863827 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| COHEN WEISS AND SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| NEW YORK GATES EIN 45-5355947 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| ROACH & MURTHA ATTORNEY AT LAW, P.C EIN 46-5013830 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| FREEPOINT COMMODITIES HOLDINGS 2019 EIN 84-3849383 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| ARGO ENVELOPE EIN 13-5566306 NONE | Direct payment from the plan; Other services Service code 49 | — | $5K |
| STATE STREET BANK AND TRUST CO EIN 04-1867445 NONE | Investment management; Direct payment from the plan; Other fees Service code 28 | — | $3K |
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 | 17,950 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9,922 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 27,872 | 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.