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 |
|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 200 PARK AVENUE NEW YORK, NY 101660188 | $1.3M |
| WILLIS TOWERS WATSON EIN 23-1159360 ACTUARY | Actuarial Service code 11 | TWO LINCOLN CENTER, SUITE 800 5420 LBJ FREEWAY DALLAS, TX 752406290 | $60K |
| AMERICAN AIRLINES, INC. EIN 13-1502798 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | PO BOX 619616 MD 5134-HDQ1 DFW AIRPORT, TX 752619616 | $49K |
| MAYER HOFFMAN MCCANN, PC EIN 43-1947695 INDEPENDENT AUDITOR | Accounting (including auditing) Service code 10 | 3101 NORTH CENTRAL AVENUE PHOENIX, AZ 85012 | $23K |
| NETWORK MEDICAL REVIEW--EXAMWORKS EIN 36-4041877 MEDICAL CONSULTING | Consulting (general) Service code 16 | 4960 E STATE STREET ROCKFORD, IL 61108 | $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 | 29,429 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 261 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 35 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 29,725 | 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.