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 | Direct payment from the plan; Plan Administrator Service code 14 | — | $8.2M |
| ALLIANT INSURANCE SERVICES,INC EIN 33-0785439 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $462K |
| GYRUS SYSTEMS EIN 26-4522132 NONE | Other services; Direct payment from the plan Service code 49 | — | $140K |
| MODERN SERVICES SOLUTIONS INC EIN 82-4068356 NONE | Other services; Direct payment from the plan Service code 49 | — | $67K |
| LUIS ORTEGA NONE | Other services; Direct payment from the plan Service code 49 | 158-11 HARRY VAN ARSDALE JR. AVENUE FLUSHING, NY 11365 | $50K |
| INSIGHT NORTH AMERICA, LLC EIN 82-0983489 NONE | Direct payment from the plan; Investment management Service code 28 | — | $45K |
| DEUTSCHE BANK EIN 13-6065488 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $35K |
| STATE STREET BANK AND TRUST CO EIN 04-1867445 NONE | Custodial (securities); Other fees; Direct payment from the plan; Investment management Service code 19 | — | $34K |
| TRALIANT HOLDINGS LLC EIN 85-4314864 NONE | Other services; Direct payment from the plan Service code 49 | — | $30K |
| A.M. CRAWFORD EIN 20-3198184 NONE | Direct payment from the plan; Other services Service code 49 | — | $26K |
| CON-EDISON EIN 13-5009340 NONE | Direct payment from the plan; Other services Service code 49 | — | $19K |
| NEW YORK GATES EIN 45-5355947 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| LIZARDOS ENGINEERING ASSOCIATES DPC EIN 11-2351830 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| COHEN WEISS AND SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| ADWAR VIDEO / VIDEO HI-TECH EIN 11-2765013 NONE | Direct payment from the plan; Other services Service code 49 | — | $12K |
| MILLER PHOTOGRAPHY LTD EIN 20-2110182 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| NORTRIDGE SOFTWARE, LLC EIN 57-1230448 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| FREEPOINT COMMODITIES HOLDINGS 2019 EIN 84-3849383 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| AWARDS AND TSHIRTS SPECIALISTS INC EIN 43-1863827 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| CDW DIRECT EIN 36-3310735 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
| STONE ENGINEERING & ARCHITECTURE DP EIN 20-1766576 NONE | Other services; Direct payment from the plan 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 | 17,849 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10,246 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 28,095 | 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.