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 | — | $417K |
| CUGGY, OLIVIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $279K |
| EMBURSE INC EIN 83-3238905 NONE | Direct payment from the plan; Other services Service code 49 | — | $279K |
| HUSS, ISADORE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $250K |
| RILEY, CHRISTOPHER M EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $225K |
| PALMA, KIRK K EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $211K |
| NARANJO, MARIA H EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $199K |
| FEKERT, JAMES D EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $197K |
| DOMINGUEZ, HUMBERTO EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $189K |
| MC GOWEN, STEVEN C EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $189K |
| BARNETT, KIM L EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $189K |
| MASON, EVELYN I EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $181K |
| ANTROBUS, NATALIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $180K |
| FREUDENBERGER, MICHELLE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $179K |
| ORTECHO, ELIZABETH EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $177K |
| PROJANSKY, DAVID EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $167K |
| RODRIGUEZ, PASCUALA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $150K |
| POSTMASTER NONE | Direct payment from the plan; Other services Service code 49 | 421 8TH AVENUE WINDOW 76 NEW YORK, NY 10199 | $135K |
| PENA-TRABOUS, CESARINA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $134K |
| BADENYI, GABOR EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $133K |
| GWP INC. EIN 20-8217385 NONE | Other services; Direct payment from the plan Service code 49 | — | $128K |
| WHITE, JASON 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 | — | $124K |
| HERRERA-DELEON, JORGE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| VELEZ, SOPHIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| TOLAND MATOS, SEAN HECTOR EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $122K |
| PARRIS, DOMINIQUE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $122K |
| BUSHAY-MORRISON, STACY EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $122K |
| PAULINO, PAULIANA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $119K |
| INFANTE, JOCELYN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| ZAMORA, ORLANDO EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| DANIEL, ZOE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $112K |
| FRITTS-PENNIMAN, SHANNON EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $111K |
| VARGAS, JOYCE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $107K |
| NUNEZ, JEANETTE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $106K |
| FARRAR, WILLIAM EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| MARTINEZ, NATALIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| THOMSON RUTERS ENTERPRISE CENTRE EIN 98-0435183 NONE | Other services; Direct payment from the plan Service code 49 | — | $103K |
| GUZMAN, EMILIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| LESLIE-HOLLAND, ANTOINETTE M EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| LINARES, LUIS EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $101K |
| PORTILLO, ANA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| DUME, JESSICA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| HERNANDEZ, KATHERINE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| CRAGWELL, JANINA D EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| BETANCES, MELISSA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| SORZA, GABRIELA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| DEL ROSARIO, INGRIS EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| PEREZ, MARIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| ALICEA, BRITTANY EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
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 | 103,506 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 38,042 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 22,741 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 164,289 | 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.