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 | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $198K |
| PAMELA BROWN EIN 13-6132502 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $172K |
| ARIA EMPLOYEE BENEFIT SERVICES INC NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 371 MERRICK ROAD ROCKVILLE CENTRE, NY 11570 | $128K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 26-4310632 NONE | Direct payment from the plan; Securities brokerage commissions and fees; Other commissions; Other investment fees and expenses; Recordkeeping and information management (computing, tabulating, data processing, etc.); Custodial (securities); Distribution (12b-1) fees; Other fees; Recordkeeping fees; Securities brokerage; Investment advisory (plan); Other services Service code 15 | — | $103K |
| LISA ULEANO EIN 13-6132502 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| NICOLE DEFELICE EIN 13-6132502 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| MILLIMAN, INC EIN 91-0675641 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $56K |
| HAILEY BROWN EIN 13-6132502 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| TINA MORENO EIN 13-6132502 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| MALONEY ASSOCIATES EIN 11-2219769 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $31K |
| BERARD & ASSOCIATES EIN 13-3774222 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $21K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 340 NORTH AVENUE EAST CRANFORD, NJ 07016 | $21K |
| L. 363 JAT RE CORP. EIN 13-3765269 AFFILIATED BENEFIT FUND | Direct payment from the plan; Other fees Service code 50 | — | $17K |
| ARCHER BYINGTON GLENNON EIN 26-0873462 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
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 | 764 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 252 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,016 | 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.