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 and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Direct payment from the plan Service code 15 | — | $3.6M |
| SEAFARERS INTL UNION AGLIW EIN 11-1690171 | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Recordkeeping fees Service code 15 | — | $2.7M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 | Claims processing; Shareholder servicing fees; Named fiduciary; Non-monetary compensation; Direct payment from the plan; Contract Administrator; Float revenue; Participant communication; Other services Service code 12 | — | $2.1M |
| OUT OF NETWORK SAVINGS PROGRAM EIN 35-2041388 | Direct payment from the plan; Other services Service code 49 | — | $413K |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 | Direct payment from the plan; Investment management fees paid directly by plan; Investment management Service code 28 | — | $310K |
| OPTUM RX, INC. EIN 33-0441200 | Claims processing; Float revenue; Other fees; Direct payment from the plan Service code 12 | — | $298K |
| AMWINS RX | Other services; Direct payment from the plan Service code 49 | 866 NORTH MAIN STREET EXTENSION WALLINGFORD, CT 06492 | $218K |
| BUCHBINDER TUNICK & CO LLP EIN 13-1578842 | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $119K |
| PLEXIS HEALTHCARE SYSTEM, INC EIN 93-1216851 | Other services; Direct payment from the plan Service code 49 | — | $114K |
| HEALTH PORTAL SOLUTIONS | Other services; Direct payment from the plan Service code 49 | 11550 WEST IH 10, SUITE 220 SAN ANTONIO, TX 78230 | $99K |
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 | Actuarial; Direct payment from the plan Service code 11 | — | $60K |
| QUEST DIAGNOSTICS EIN 54-0854787 | Other services; Direct payment from the plan Service code 49 | — | $52K |
| HAYS COMPANIES | Consulting fees; Consulting (general); Direct payment from the plan Service code 16 | 80 SOUTH 8TH ST, IDS CTR, STE 700 MINNEAPOLIS, MN 55402 | $30K |
| UNIVERSITY SERVICES | Other services; Direct payment from the plan Service code 49 | 2800 BLACK LAKE PLACE, STE A PHILADELPHIA, PA 19154 | $29K |
| MARTIN OPPENHIEMER | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | 400 CLAFLIN AVE MAMARONECK, NY 10543 | $20K |
| ZELIS HEALTHCARE | Direct payment from the plan; Other services Service code 49 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $15K |
| NGL GROUP LLC EIN 11-2334873 | Insurance brokerage commissions and fees; Insurance services Service code 23 | — | $12K |
| COMERICA BANK EIN 42-1741646 | Shareholder servicing fees; Custodial (securities); Float revenue; Other services; Direct payment from the plan; Other investment fees and expenses Service code 19 | — | $11K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 | Direct payment from the plan; Consulting (general); Consulting fees Service code 16 | — | $8K |
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 | 7,699 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,475 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,174 | 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.