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 | — | $8.3M |
| ALLIANT INSURANCE SERVICES, INC. EIN 33-0785439 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $346K |
| GYRUS SYSTEMS EIN 26-4522132 NONE | Direct payment from the plan; Other services Service code 49 | — | $138K |
| FOREST ELECTRIC CORP EIN 13-2931692 NONE | Direct payment from the plan; Other services Service code 49 | — | $72K |
| INSIGHT NORTH AMERICA, LLC EIN 82-0983489 NONE | Investment management; Direct payment from the plan Service code 28 | — | $57K |
| H&H GRAPHIC PRINTING COMMUNICATION EIN 27-0771521 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $31K |
| TRALIANT HOLDINGS LLC EIN 85-4314864 NONE | Direct payment from the plan; Other services Service code 49 | — | $29K |
| HARRIS ENERGY SOLUTIONS LLC EIN 82-0801077 NONE | Direct payment from the plan; Other services Service code 49 | — | $27K |
| CON-EDISON EIN 13-5009340 NONE | Direct payment from the plan; Other services Service code 49 | — | $26K |
| ELLENOFF GROSSMAN & SCHOLE LLP EIN 13-3643185 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| ALL STONE RESTORATION EIN 26-1551402 NONE | Other services; Direct payment from the plan Service code 49 | — | $18K |
| IWNL LLC EIN 87-0952649 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| FAMOUS OF NY GC CORP EIN 46-3216151 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| LUIS ORTEGA NONE | Other services; Direct payment from the plan Service code 49 | 3101 WHISPERING HILLS DR CHESTER, NY 10918 | $13K |
| BAGELS PLUS EIN 11-2665580 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| MILLER PHOTOGRAPHY LTD EIN 20-2110182 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| ROACH & MURTHA ATTORNEY AT LAW, P.C EIN 46-5013830 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| NORTRIDGE SOFTWARE LLC EIN 57-1230448 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| AWARDS AND T-SHIRT SPECIALISTS INC EIN 43-1863827 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| CBRE, INC EIN 95-2743174 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| RELYON NUTEC USA LLC EIN 72-1488143 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| WASHINGTON CAPITAL MANAGEMENT INC EIN 91-1042342 NONE | Investment management; Direct payment from the plan Service code 28 | — | $6K |
| LEGACY OFFICE SOLUTIONS, LLC EIN 46-0818763 NONE | Other services; Direct payment from the plan Service code 49 | — | $5K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 NONE | Direct payment from the plan; Other fees; Investment management Service code 28 | — | $2K |
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 | 18,458 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9,477 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 27,935 | 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.