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 | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $688K |
| BUSINESSSOLVER EIN 42-1503807 NONE KNOWN | Participant communication; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 13 | — | $236K |
| ALLSUP INC. NONE KNOWN | Other fees; Other services Service code 49 | 300 ALLSUP PLACE BELLEVILLE, IL 622238626 | $113K |
| BDO USA, P.C. EIN 13-5381590 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $20K |
| RELIABLE RS NONE KNOWN | Other services; Other fees Service code 49 | 100 MORSE STREET NORWOOD, MA 02062 | $15K |
| KAISER CONSULTING NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Direct payment from the plan; Consulting (general) Service code 10 | 34 GRACE DRIVE POWELL, OH 43065 | $15K |
| BROWN & JOSEPH LLC NONE KNOWN | Other fees; Other services Service code 49 | ONE PIERCE PLACE SUITE 700W ITASCA, IL 60143 | $10K |
| UNIVERSITY DISABILITY CONSORT. NONE KNOWN | Other fees; Other services Service code 49 | 76 CHESTNUT STREET NEWTON, MA 02465 | $9K |
| R3 CONTINUUM LLC NONE KNOWN | Other fees; Other services Service code 49 | PO BOX 1464 INDIANAPOLIS, IN 46206 | $9K |
| EXAM COORDINATORS NETWORK NONE KNOWN | Other fees; Other services Service code 49 | 440 E SWEDESFORD ROAD SUITE 1000 WAYNE, PA 19087 | $6K |
| MEDICAL EVALUATION SPECIALISTS NONE KNOWN | Other services; Other fees Service code 49 | 100 MORSE STREET NORWOOD, MA 02062 | $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 | 16,779 | 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) | 16,779 | 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.