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 EIN 22-1211670 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $620K |
| MERCER EIN 20-1932099 NONE | Contract Administrator; Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $156K |
| ALLSUP, INC. NONE | Other fees; Other services Service code 49 | 300 ALLSUP PLACE BELLEVILLE, IL 622238626 | $115K |
| MES PEER REVIEW SERVICES NONE | Other services; Other fees Service code 49 | 100 MORSE ST NORWOOD, MA 02062 | $23K |
| PLANTE MORAN EIN 38-1357951 NONE | Consulting (general); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $23K |
| PSYBAR, LLC NONE | Other fees; Other services Service code 49 | 6600 FRANCE AVE SUITE 640 EDINA, MN 55435 | $18K |
| R3 CONTINUUM NONE | Other services; Other fees Service code 49 | 4115 AYRSHIRE WAY SW WYOMING, MI 49418 | $6K |
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 | 16,953 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 16,953 | 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.