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 |
|---|---|---|---|
| PRUDENTIAL INSURANCE CO OF AMERICA EIN 22-1211670 NONE KNOWN | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $637K |
| MERCER EIN 20-1932099 NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Participant communication Service code 13 | — | $162K |
| ALLSUP INC. NONE KNOWN | Other services; Other fees Service code 49 | 300 ALLSUP PLACE BELLEVILLE, IL 622238626 | $87K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 NONE KNOWN | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $24K |
| PSYBAR LLC NONE KNOWN | Other fees; Other services Service code 49 | 6600 FRANCE AVE SO SUITE 640 EDINA, MN 55435 | $19K |
| RELIABLE RS NONE KNOWN | Other fees; Other services Service code 49 | PO BOX 492890 REDDING, CA 96049 | $11K |
| UNIVERSITY DISABILITY CONSORT. NONE KNOWN | Other fees; Other services Service code 49 | 76 CHESTNUT STREET NEWTON, MA 02465 | $8K |
| MCMC LLC NONE KNOWN | Other fees; Other services Service code 49 | P.O. BOX 809302 CHICAGO, IL 606809302 | $8K |
| BRIDGEVALLEY COMM AND TECH COLLEGE NONE KNOWN | Other fees; Other services Service code 49 | 2001 UNION CARBIDE DRIVE S. CHARLESTON, WV 25303 | $8K |
| EXAM COORDINATORS NETWORK NONE KNOWN | Other fees; Other services Service code 49 | 400 E SWEDESFORD ROAD SUITE 3000 WAYNE, PA 19087 | $8K |
| VOCWORKS NONE KNOWN | Other services; Other fees Service code 49 | PO BOX 182848 COLUMBUS, OH 432182848 | $6K |
| MLS GROUP OF COMPANIES, INC. NONE KNOWN | Other services; Other fees Service code 49 | P.O. BOX 492417 REDDING, CA 96049 | $6K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE KNOWN | Custodial (securities); Other fees; Shareholder servicing fees; Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 19 | — | $1K |
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 | 17,951 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 17,951 | 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.