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 |
|---|---|---|---|
| C & R CONSULTING, INC. EIN 13-3935364 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $78K |
| FIRST ACTUARIAL CONSULTING TEAM EIN 26-3842522 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $70K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $63K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $57K |
| QUAN-VEST CONSULTANTS, INC. EIN 11-2559669 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $50K |
| INTECH INVESTMENT MANAGEMENT LLC EIN 01-0614895 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $38K |
| BANK OF AMERICA EIN 94-1687665 NONE | Other investment fees and expenses; Custodial (securities); Direct payment from the plan Service code 19 | — | $37K |
| ATLANTIC ASSET MANAGEMENT LLC EIN 06-1567877 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $36K |
| WEDGE CAPITAL MANAGEMENT EIN 56-1557450 NONE | Investment management fees paid directly by plan; Investment management; Soft dollars commissions Service code 28 | — | $34K |
| O'DWYER & BERNSTEIN, LLP EIN 13-5286665 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| C.S. MCKEE LP EIN 25-1900687 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | — | $13K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Custodial (securities); Investment management; Investment management fees paid directly by plan; Custodial (other than securities) Service code 18 | — | $12K |
| PRINCIPAL LIFE INSURANCE COMPANY EIN 42-0127290 NONE | Investment management; Other investment fees and expenses; Contract Administrator; Investment management fees paid indirectly by plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $0 |
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 | 267 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 485 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 149 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 187 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,088 | 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.