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 |
|---|---|---|---|
| WEB-TPA EIN 75-2611444 NONE | Contract Administrator; Claims processing Service code 12 | — | $220K |
| GUARDIAN EIN 13-5123390 NONE | Claims processing; Contract Administrator Service code 12 | — | $198K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $127K |
| NGS EIN 75-2028097 NONE | Claims processing; Contract Administrator Service code 12 | — | $124K |
| BENEFIT ELECT NONE | Other services Service code 49 | 835 S.W. YATES DR., SUITE 202 BEND, OR 97702 | $54K |
| STATE STREET BANK & TRUST CO EIN 04-1867445 TRUSTEE | Custodial (securities) Service code 19 | — | $31K |
| BHMS EIN 75-2403190 NONE | Investment management fees paid directly by plan Service code 51 | — | $29K |
| WELLINGTON TRUST CO EIN 04-2755549 NONE | Investment management fees paid directly by plan Service code 51 | — | $23K |
| TOWERS WATSON EIN 53-0181291 NONE | Investment advisory (plan) Service code 27 | — | $19K |
| BAKER TILLY US, LLP EIN 75-2919818 NONE | Accounting (including auditing) Service code 10 | — | $18K |
| DAVIS DYER MAX NONE | Other services Service code 49 | 3200 BROADWAY BLVD STE 400 GARLAND, TX 75043 | $10K |
| WILKINS FINSTON EIN 27-5546855 NONE | Legal Service code 29 | — | $8K |
| BLACKROCK EIN 94-6052285 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $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 | 5,449 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 118 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 82 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,649 | 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.