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 |
|---|---|---|---|
| SEAFARERS VACATION PLAN EIN 13-5602047 | Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $3.8M |
| SEAFARERS INTL UNION AGLIW EIN 11-1690171 | Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $3.6M |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 | Investment management Service code 28 | — | $1.0M |
| LUNDEBERG MD SEAMANSHIP SCHOOL, INC EIN 11-2206183 | Direct payment from the plan; Other services Service code 49 | 45353 ST GEORGES AVE PINEY POINT, MD 20674 | $383K |
| AMWINS RX | Direct payment from the plan Service code 50 | 866 NORTH MAIN STREET EXTENSION WALLINGFORD, CT 06492 | $205K |
| WEAVER AND TIDWELL, LLP EIN 75-0786316 | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $139K |
| PLEXIS HEALTHCARE SYSTEMS, INC EIN 93-1216851 | Direct payment from the plan Service code 50 | — | $128K |
| HEALTH PORTAL SOLUTIONS | Other services; Direct payment from the plan Service code 49 | 11550 WEST IH 10, SUITE 220 SAN ANTONIO, TX 78230 | $114K |
| SANDRA L. GUY EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $110K |
| CATHERINE S. FENWICK EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $99K |
| LISA R. WILLIAMS EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $97K |
| KERRIE E. THOMPSON EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $86K |
| DEBORAH K. KARR EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $81K |
| FRANCISCO TORRES EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $77K |
| OPTUM RX, INC. EIN 33-0441200 | Claims processing; Direct payment from the plan; Float revenue Service code 12 | — | $71K |
| MCS LIFE INSURANCE EIN 66-0520918 | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 193310 SAN JUAN, PR 94107 | $70K |
| AGNES D. WOODLAND EIN 13-5557534 | Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $69K |
| REBECCA D. HOWE EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $67K |
| TUSHIMA N. FRENZEN EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $66K |
| MINETTE S. CLARKE EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $66K |
| PAQUITA L. BROOKS EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $57K |
| KIMBERLY A. GREENWELL EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $55K |
| PAMELA J. EVANS EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $55K |
| SHARON A. THOMPSON EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $53K |
| CHRIS H. LEEMAN EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $52K |
| MARY B. BROWNE EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $52K |
| SHELBY F. MONTGOMERY EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $51K |
| CAROL A. STROHMEYER EIN 13-5557534 | Direct payment from the plan Service code 50 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $51K |
| JENELL E. GANDY EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $50K |
| SHAWN S. WERFEL EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $45K |
| MACHELLE A. TERRY-COURTNEY EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $43K |
| ERICA M. ESCOBAR EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DRR CAMP SPRINGS, MD 20746 | $43K |
| WANDA LEE LOHEED EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $43K |
| JOHN G. WHITT EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $43K |
| SYDNEY A. TOLBERT EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $42K |
| CHRISTINE J. DAVIS EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $41K |
| KATLYN L. GAGNON EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $41K |
| MARY C. WILLS EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $40K |
| MARY E. BOGGS EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $39K |
| MADISON A. DAVIS EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $39K |
| ROCHELLE R. BLACKISTON EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $38K |
| JESSICA F. EVERSBERG EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $37K |
| SHANISE D. DAMES EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $37K |
| KIRSTEN A. EVERSBERG EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $36K |
| KIA L. GILLIARD WILLIAMS EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $36K |
| TYSHEENA M. BRISCOE EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $36K |
| ASHLYN N. NICHOLS EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $35K |
| ANNA J. BUCKLER EIN 13-5557534 | Employee (plan); Direct payment from the plan Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $35K |
| ZELIS HEALTHCARE EIN 58-2167964 | Claims processing Service code 12 | — | $34K |
| VIRGINIA TREVETHAN EIN 13-5557534 | Direct payment from the plan; Employee (plan) Service code 30 | 5201 CAPITAL GATEWAY DR CAMP SPRINGS, MD 20746 | $33K |
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 | 7,645 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,374 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,019 | 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.