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 |
|---|---|---|---|
| LOCAL 1102 RWDSU EIN 13-1215130 NONE | Other services; Direct payment from the plan Service code 49 | — | $990K |
| LOCAL 1102 RETIREMENT TRUST EIN 13-1847329 NONE | Direct payment from the plan; Other services Service code 49 | — | $918K |
| HUDSON CANYON CAPITAL MANAGEMENT LL EIN 81-4432795 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $353K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $229K |
| ROTHMAN, ROCCO, LARUFFA, LLP EIN 47-5401457 NONE | Legal; Direct payment from the plan Service code 29 | — | $114K |
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $97K |
| DD SERVICES INC EIN 11-2705347 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $78K |
| TELEDOC HEALTH INC EIN 04-3705970 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $57K |
| C.S. MCKEE EIN 84-3346426 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $50K |
| CITRIN COOPERMAN & COMPANY LLP EIN 22-2428965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $42K |
| FIRST ACTUARIAL CONSULTING, INC. EIN 26-3842522 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $32K |
| DAHAB ASSOCIATES EIN 11-2783874 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $24K |
| COMERICA EIN 42-1741646 NONE | Other investment fees and expenses; Float revenue; Other services; Custodial (securities); Custodial (other than securities) Service code 18 | — | $21K |
| GREEN LIGHT COST MANAGEMENT, LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 17015 NORTH SCOTTSDALE RD, STE 350 SCOTTSDALE, AZ 85255 | $18K |
| DR. JOSEPH DEVITO, MD EIN 11-2991823 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $12K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 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 | 2,753 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,755 | 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.