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 |
|---|---|---|---|
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $217K |
| PAMELA BROWN EIN 13-6132502 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $180K |
| ARIA EMPLOYEE BENEFIT SERVICES INC NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 371 MERRICK ROAD ROCKVILLE CENTRE, NY 11570 | $167K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 26-4310632 NONE | Investment advisory (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.); Other investment fees and expenses; Securities brokerage; Other commissions; Other services; Custodial (securities); Recordkeeping fees; Other fees Service code 15 | — | $121K |
| NICOLE DEFELICE EIN 13-6132502 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| HAILEY BROWN EIN 13-6132502 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| DANIELLE ADAIR EIN 13-6132502 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| TINA MORENO EIN 13-6132502 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $52K |
| MILLIMAN, INC EIN 91-0675641 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $32K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 340 NORTH AVENUE EAST CRANFORD, NJ 07016 | $22K |
| ARCHER BYINGTON GLENNON EIN 26-0873462 NONE | Legal; Direct payment from the plan Service code 29 | — | $19K |
| L. 363 JAT RE CORP. EIN 13-3765269 AFFILIATED BENEFIT FUND | Direct payment from the plan; Other fees Service code 50 | — | $18K |
| BERARD & ASSOCIATES EIN 13-3774222 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $13K |
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 | 763 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 251 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,014 | 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.