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 |
|---|---|---|---|
| EMPIRE BLUE CROSS BLUE SHIELD EIN 23-7391136 NONE | Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $3.1M |
| GUARDIAN LIFE INSURANCE CO EIN 13-5123390 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $314K |
| ACRISURE, LLC EIN 26-3554645 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $236K |
| MANNING & NAPIER ADVISORS INC. EIN 16-0995736 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $179K |
| J.P. MORGAN INVESTMENT MANAGEMENT EIN 13-3200244 NONE | Investment management fees paid directly by plan; Investment management; Investment advisory (plan) Service code 27 | — | $167K |
| LORD ABBETT & CO. LLC EIN 13-5620131 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $131K |
| THE SEGAL COMPANY INC EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $93K |
| COLLERAN, O'HARA AND MILLS EIN 11-2326314 NONE | Legal; Direct payment from the plan Service code 29 | — | $93K |
| PATRICK DOHERTY EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $86K |
| JOSEPH M. STERN, CPA EIN 11-2767324 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $86K |
| MARK NARDELLA EIN 13-6178513 NONE | Employee (plan); Recordkeeping fees Service code 30 | — | $84K |
| ROBERT MAGUIRE EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $80K |
| UNION BENEFIT PLANNERS, INC. NONE | Consulting (general); Direct payment from the plan Service code 16 | 181 NEW ROAD, SUITE 304 PARSIPPANY, NJ 07054 | $60K |
| DENNIS LUSARDI II EIN 13-6178512 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $55K |
| MISSOURI VALLEY PARTNERS EIN 43-1898506 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $54K |
| BAHL & GAYNOR, INC. EIN 31-1297139 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $54K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $45K |
| SNOW CAPITAL MANAGEMENT LLC EIN 25-1894430 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $40K |
| BARBARA ARMSTRONG EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $31K |
| VANYA WEST EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $30K |
| ROSEMARY LUIZZI EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $30K |
| EVELYN RODRIGUEZ EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $30K |
| MICHELLE A SCHULTZ EIN 13-6178513 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $29K |
| PART D ADVISORS, INC. EIN 20-2595200 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $28K |
| WILLIAM SHUZMAN, PC EIN 13-3386674 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| WCM INVESTMENT MANAGEMENT, LLC EIN 95-3046237 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $22K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $19K |
| STEVEN DAVI PLLC NONE | Legal; Direct payment from the plan Service code 29 | 40 UNQUA PLACE AMITYVILLE, NY 11701 | $12K |
| SAFEGUARD BUSINESS SYSTEMS INC. NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 455 MARYLAND DRIVE FORT WASHINGTON, PA 19034 | $12K |
| INNOVATIVE SOFTWARE SOLUTIONS EIN 23-2182079 NONE | Investment management fees paid directly by plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $10K |
| MORGAN STANLEY SMITH BARNEY EIN 26-4310632 NONE | Direct payment from the plan; Other investment fees and expenses Service code 50 | — | $9K |
| ROGER E. MAHER NONE | Legal; Direct payment from the plan Service code 29 | 23 83RD STREET BROOKLYN, NY 11209 | $8K |
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 | 2,419 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 560 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,979 | 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.