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 |
|---|---|---|---|
| AR ENVIRONETICS ARCHITECTS EIN 27-1589770 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $276K |
| BRENNAN, SEAN EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $179K |
| TURNER & TOWNSEND EIN 98-0437541 NONE | Direct payment from the plan; Other services Service code 49 | — | $173K |
| WARRINGTON, TIMOTHY EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $156K |
| WEBB, WENDY EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| ROLDAN, JORGE EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| MELTON, DAVID EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $114K |
| SIKORA, KAZIMIERZ EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 36-4291971 NONE | Other services; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $110K |
| COSTA, LEONARD EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| TULLY, PAUL EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| CULPEPPER, CHRISTINE EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $98K |
| GALAZKA, ZYGMUNT EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| CHIARELLO, ANTHONY EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| BRACKEN, KEVIN P EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| FLOREZ, RUBEN EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| MARS, DOROTA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| ORTEGA, CARLOS EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $87K |
| RESTREPO, MONICA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| CORDOVA, MARIA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| CAMERON ENGINEERING & ASSOCIATES EIN 80-0857408 NONE | Direct payment from the plan; Other services Service code 49 | — | $51K |
| MARTI, LUIS R. EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| ROSERO, CAROLINA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| BAZYLCEYK-BIELUCH, ANNA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| MORALES, YASMIN EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $39K |
| CHROSTOWSKI, EMILIA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $39K |
| RODRIGUEZ, APRIL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $36K |
| DRUIETT, JOHN PAUL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $34K |
| GORLICK KRAVITZ & LISTHAUS P.C. EIN 13-3790829 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $33K |
| CASTILLO, RUTH EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $32K |
| CRUZ, ANA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $29K |
| COCHRANE, EBONEE EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $29K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $25K |
| MEDINA, JORGE L EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $24K |
| AQUINO, GLORIBEL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $22K |
| LEONIUK, EDYTA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $22K |
| PALADINO, DENNIS A. EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $14K |
| INTERNATIONAL SCHOLARSHIP & TUITION EIN 62-1247492 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $12K |
| CASTRO, HECTOR EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $12K |
| MILROSE CONSULTANTS, INC. EIN 11-3039923 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| LAPITSKIY, YURIY EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $7K |
| CHANLATTE, MASSIEL EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $5K |
| DON WALLERS INTERACTIVES NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 47 FAIRVIEW AVENUE ISLIP TERRACE, NY 11752 | $5K |
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 | 11,310 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,916 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 15,226 | 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.