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 INTL UNION AGLIW EIN 11-1690171 | Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Direct payment from the plan Service code 15 | — | $3.2M |
| RIVERBEND TECHNOLOGIES LLC | Direct payment from the plan; Consulting (general); Other services Service code 16 | 1610 AUDUBON ST NEW ORLEANS, LA 701185502 | $1.3M |
| MARGARET R BOWEN EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $289K |
| LESLIE E TARANTOLA EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $221K |
| URS-VRS ENTERPRISES INC. | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 13090 MONICA COURT FAIRFAX, VA 22030 | $206K |
| FIRST-CITIZENS BANK & TRUST CO EIN 56-0223230 | Account maintenance fees; Direct payment from the plan; Other services Service code 49 | — | $202K |
| CHERICE R. ORZECHOWSKI EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $178K |
| WALLACE L SCHMIDT EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $177K |
| ELLEN A SILVER EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $164K |
| JOHN M SACCO EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $153K |
| HANKINS COMPUTER SERVICES, INC | Consulting fees; Consulting (general); Direct payment from the plan Service code 16 | 5220 JOSHUA ROAD MECHANICSBURG, PA 17050 | $132K |
| RAYMOND B LABELLA ESQ. EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $130K |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 | Custodial (securities); Investment management fees paid directly by plan; Direct payment from the plan; Other investment fees and expenses; Investment management Service code 19 | — | $118K |
| LEAH M COMER EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| SANDRA L. GUY EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $110K |
| KRISTY L CLEMENTS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| CATHERINE S. FENWICK EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $99K |
| WEAVER AND TIDWELL, LLP EIN 75-0786316 | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $99K |
| CONTESSA B. ANDERSON EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| FREDERICK A LONG EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| JAMES E COOK EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| LISA R. WILLIAMS EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| CURTIS E REEVES EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| NORMA J. FERGUSON-PIKE EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| BEVERLY GORMAN WATKINS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| TRUIST BANK EIN 56-1074313 | Direct payment from the plan; Account maintenance fees; Other services Service code 49 | — | $82K |
| CURTIS DIX JR EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| KERRIE E. THOMPSON EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| DEBORAH K. KARR EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| JESSICA L NORRIS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| STEPHANIE M MCNULTY EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| FRANCISCO TORRES EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| BRYAN J WILLIS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| BRIAN P HORTON EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| TIFFANY L. BLAKE EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| CYNTHIA L GREEN EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| JANE H LESCALLETT EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| TAMMY MARIE KILEY-BRAZEROL EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| SARAH BRACKETT JOHNSON EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| CONSTANCE D YOUNG EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| AGNES D. WOODLAND EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| JOHN M. BROW EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $68K |
| REBECCA D. HOWE EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| JUAN CARLOS SANDE EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| TUSHIMA N. FRENZEN EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| JANAY M JAMES EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| DALTON G. ANGELES EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $66K |
| STACY M THACKER EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| MINETTE S. CLARKE EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| ANN M. MCNEAL EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
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 | 5,782 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 125 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,907 | 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."
No prospect flags tripped on this filing.