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 |
|---|---|---|---|
| PIMCO EIN 33-0629048 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 650 NEWPORT DRIVE NEWPORT BEACH, CA 92660 | $104K |
| IRIDIAN ASSET MANAGEMENT LLC EIN 06-1439577 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | 76 POST ROAD WEST WESTPORT, CT 06880 | $72K |
| FISHER INVESTMENTS EIN 20-2480800 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | 13100 SKYLINE BLVD WOODSIDE, CA 94062 | $57K |
| HS MANAGEMENT PARTNERS LLC EIN 26-0335469 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | 598 MADISON AVE. NEW YORK, NY 10022 | $50K |
| PNC BANK EIN 25-1211909 NONE | Investment management; Direct payment from the plan; Investment management fees paid indirectly by plan; Trustee (directed) Service code 25 | 620 LIBERTY AVE. LOCATOR P2-PTPP-07-01 PITTSBURGH, PA 15222 | $42K |
| CAMBRIDGE ASSOCIATES LLC EIN 04-3515240 NONE | Direct payment from the plan; Investment advisory (plan); Named fiduciary Service code 27 | 125 HIGH STREET BOSTON, MA 02110 | $36K |
| STW FIXED INCOME MANAGEMENT LLC EIN 77-0555117 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 875 THIRD AVE 22ND FLOOR NEW YORK, NY 10022 | $28K |
| SYNDER CAPITAL MANAGEMENT L.P. EIN 04-3370184 NONE | Soft dollars commissions; Securities brokerage commissions and fees; Investment management fees paid directly by plan; Investment management Service code 28 | 101 MISSION STREET, #1400 SAN FRANCISCO, CA 94105 | $22K |
| COLUMBUS CIRCLE INVESTORS EIN 06-1404803 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | 1 STATION PLACE STAMFORD, CT 06902 | $17K |
| LSV ASSET MANAGEMENT EIN 23-2772200 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 155 NORTH UPPER WACKER DRIVE SUITE #4600 CHICAGO, IL 60606 | $15K |
| AON HEWITT EIN 22-2232264 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Participant communication; Other commissions; Consulting (general); Participant loan processing Service code 15 | 500 EAST PRATT STREET 7TH FLOOR BALTIMORE, MD 21202 | $8K |
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 | 1,717 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 767 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 2,484 | 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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.