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 |
|---|---|---|---|
| H&H GRAPHIC PRINTING COMMUNICATIONS EIN 27-0771521 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $343K |
| CUGGY, OLIVIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $270K |
| HUSS, ISADORE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $247K |
| RILEY, CHRISTOPHER EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $210K |
| PALMA, KIRK K EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $198K |
| FEKERT, JAMES D EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $193K |
| PROJANSKY, DAVID EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $192K |
| DOMINGUEZ, HUMBERTO EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $191K |
| MC GOWEN, STEVEN C EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $190K |
| BARNETT, KIM L EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $190K |
| FREUDENBERGER, MICHELLE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $182K |
| MASON, EVELYN I EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $182K |
| ANTROBUS, NATALIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $182K |
| NARANJO, MARIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $181K |
| ORTECHO, ELIZABETH EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $178K |
| AGUIRRE, GLORIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $172K |
| RODRIGUEZ, PASCUALA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $149K |
| LANZO, DAMARIS EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $141K |
| PENA-TRABOUS, CESARINA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $139K |
| BUSHAY-MORRISON, STACY EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
| TISHLER, LESLIE G EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $125K |
| BADENYI, GABOR EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $125K |
| PAULINO, PAULIANA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $123K |
| INFANTE, JOCELYN EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $123K |
| SWIADER, GEORGIANNA TULKIE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $123K |
| HERRERA-DELEON, JORGE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $119K |
| REILLY, KATHLEEN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| SEPULVEDA-ARMAS, CARLA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| TOLAND MATOS, SEAN HECTOR EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $108K |
| VARGAS, JOYCE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $106K |
| NUNEZ, JEANETTE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| LINARES, LUIS EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| LESLIE-HOLLAND, ANTOINETTE M EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| MARTINEZ, NATALIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| SCHARPHORN, SCOTT DOUGLAS EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| DUME, JESSICA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $99K |
| DEL ROSARIO, INGRIS EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| CALERO, GINA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| CRAGWELL, JANINA D EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| BETANCES, MELISSA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| PEREZ, MARIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| REYNA, AILEEN EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| GIL, YVONNE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| TOLEDO-NARVAEZ, DARLYN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| ESPINAL, ROSELYN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| ALICEA, BRITTANY EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| VELEZ, SOPHIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| LOPEZ, LIANNA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| BERG, SARAH EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| HERNANDEZ, KATHERINE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
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 | 98,478 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37,265 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 22,419 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 158,162 | 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.