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 |
|---|---|---|---|
| STONERIDGE INVESTMENT PARTNERS LLC EIN 25-1841566 | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $540K |
| LORD, ABBETT & CO. LLC EIN 13-5620131 | Investment management fees paid directly by plan; Investment management Service code 28 | — | $349K |
| MORGAN STANLEY INVESTMENT MGMT INC EIN 13-3040307 | Investment management fees paid directly by plan; Investment management Service code 28 | — | $153K |
| VITECH SYSTEMS GROUP EIN 13-3785492 | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $58K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 | Direct payment from the plan; Custodial (securities); Float revenue Service code 19 | — | $57K |
| HIGHLAND CAPITAL MANAGEMENT LLC EIN 27-5440911 | Investment management fees paid directly by plan; Investment management Service code 28 | — | $36K |
| SEGAL ROGERSCASEY EIN 13-2466110 | Consulting fees; Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $35K |
| MICHELLE BAUTISTA EIN 13-6149681 | Employee (plan) Service code 30 | — | $31K |
| MARIA SENA EIN 13-6149681 | Employee (plan) Service code 30 | — | $30K |
| CALLIE SAN PHILLIPO EIN 13-6149681 | Employee (plan) Service code 30 | — | $26K |
| HIGHMARK CAPITAL MANAGEMENT, INC EIN 94-3050577 | Investment management; Investment management fees paid directly by plan Service code 28 | — | $21K |
| ULLICO CASUALTY COMPANY EIN 13-2988846 | Insurance brokerage commissions and fees; Insurance services Service code 23 | — | $18K |
| DYNAMIC INDUSTRIES EIN 11-2467254 | Copying and duplicating Service code 36 | — | $16K |
| LAPADULA, CARLSON & CO. CPA EIN 65-0292391 | Accounting (including auditing) Service code 10 | — | $14K |
| RICHARD S. BROOK EIN 11-2543273 | Legal Service code 29 | — | $10K |
| CHUBB & SON EIN 13-1963496 | Insurance agents and brokers Service code 22 | — | $9K |
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 | 3,041 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,441 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,482 | 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.