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 |
|---|---|---|---|
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $212K |
| FIRST ACTUARIAL CONSULTING TEAM EIN 26-3842522 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $82K |
| C & R CONSULTING, INC. EIN 13-3935364 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $77K |
| O'DWYER & BERNSTEIN, LLP EIN 13-5286665 NONE | Legal; Direct payment from the plan Service code 29 | — | $67K |
| QUAN-VEST CONSULTANTS, INC. EIN 11-2559669 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $50K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $47K |
| WEDGE CAPITAL MANAGEMENT EIN 56-1557450 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $40K |
| BANK OF AMERICA EIN 94-1687665 NONE | Other investment fees and expenses; Custodial (securities); Direct payment from the plan Service code 19 | — | $30K |
| INTECH INVESTMENT MANAGEMENT LLC EIN 01-0614895 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $28K |
| WASHINGTON SQUARE PARTNERS EIN 13-3795496 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $16K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Custodial (securities); Investment management fees paid directly by plan; Investment management; Custodial (other than securities) Service code 18 | — | $11K |
| GALLAGHER FIDUCIARY ADVISORS LLC EIN 26-0516431 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $7K |
| TRUE TYPE PRINTING CO., INC. EIN 13-5600711 NONE | Direct payment from the plan; Other fees Service code 50 | — | $7K |
| PRINCIPAL LIFE INSURANCE COMPANY EIN 42-0127290 NONE | Investment management; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other investment fees and expenses; Contract Administrator; Investment management fees paid indirectly by plan 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 | 236 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 468 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 169 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 190 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,063 | 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.