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.); Direct payment from the plan; Recordkeeping fees Service code 15 | — | $2.4M |
| VERIZON BUSINESS EIN 13-2745892 | Direct payment from the plan; Other services Service code 49 | — | $445K |
| GCR & ASSOCIATES, INC | Other services; Direct payment from the plan Service code 49 | 2021 LAKESHORE DRIVE, STE 500 NEW ORLEANS, LA 70122 | $436K |
| MARGARET R BOWEN EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $234K |
| LESLIE E TARANTOLA EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $178K |
| AT&T EIN 43-1301883 | Other services; Direct payment from the plan Service code 49 | — | $178K |
| URS-VRS ENTERPRISES INC. | Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | 13090 MONICA COURT FAIRFAX, VA 22030 | $142K |
| AUDREY F FEFFER EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| STANFORD DUBIN EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $134K |
| ELLEN A SILVER EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $133K |
| MICHAEL J ANTROBUS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $133K |
| BETTE L BEAUMONT | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | 13106 DAWNWOOD TERRE MIDLOTHIAN, VA 23113 | $132K |
| DEBORAH KLEINBERG EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $131K |
| DANIEL CRUZ EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| BUCHBINDER TUNICK & CO LLP EIN 13-1578842 | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $121K |
| WALLACE L. SCHMIDT EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $120K |
| JOHN M SACCO EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $119K |
| HANKINS COMPUTER SERVICES, INC | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 409 EAST DUVAL STREET LAKE CITY, FL 32055 | $108K |
| PATRICIA L BENOIT NORRIS EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| JANE H LES CALLETT EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| ULTIMATE SOFTWARE GROUP EIN 65-0694077 | Direct payment from the plan; Other services Service code 49 | — | $94K |
| MIRIAM BOVE EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| MAUREEN CLARK-GALLAGHER EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| GLENN A LEWIS EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $89K |
| NATALIE C WOODBURN EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| JOHN MICHAEL GALLAGHER EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| XEROX CORPORATION EIN 16-0468020 | Copying and duplicating; Direct payment from the plan Service code 36 | — | $86K |
| JONATHAN PATRICK MADDEN EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| LEAH M COMER EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 | Direct payment from the plan; Investment management fees paid directly by plan; Investment management Service code 28 | — | $76K |
| TERESA H ZELKO EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| KRISTY L CLEMENTS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| CHRISTINA M JOHNSON SHARPE EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| JAMES E COOK EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| EDDIE ALBERT BENNETT EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| JOANNA F CURREY EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| ROBERT A KERR EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| SABRINA MARSHALL EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| FREDERICK A LONG EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| RAYMOND B LABELLA EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| FRANKIE M RAMSEUR EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $68K |
| JANET L CLEMENTS EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| JOHNNIE GORMAN EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| PITNEY BOWES GLOBAL FINANCIAL EIN 84-1386389 | Direct payment from the plan; Other services Service code 49 | — | $65K |
| AZTECH DATASYSTEMS INC | Direct payment from the plan; Consulting (general); Consulting fees Service code 16 | 3667 COVENTRY COURT YORK, PA 17402 | $65K |
| CURTIS DOUGLASS DIX JR EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| BEVERLY GORMAN WATKINS EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| NORMA J FERGUSON-PIKE EIN 13-5602047 | Employee (plan); Direct payment from the plan Service code 30 | — | $61K |
| LUNDEBERG MD SEAMANSHIP SCHOOL EIN 11-2206183 | Direct payment from the plan; Other services Service code 49 | — | $59K |
| SUZANNE L PLOURDE EIN 13-5602047 | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
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 | 5,363 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 128 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,491 | 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.