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 |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 CLAIMS PROCESSING | Claims processing; Other fees; Direct payment from the plan; Float revenue Service code 12 | — | $93.5M |
| BLUECROSS BLUESHIELD OF TENNESSEE EIN 62-0427913 ADMINISTRATIVE | Contract Administrator Service code 13 | — | $5.7M |
| MERITAIN HEALTH EIN 16-1264154 ADMINISTRATIVE | Contract Administrator Service code 13 | — | $977K |
| HIGHMARK INC. EIN 23-1294723 ADMINISTRATIVE | Contract Administrator Service code 13 | — | $801K |
| DELTA DENTAL OF TENNESSEE EIN 62-0812197 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $799K |
| AETNA BEHAVORIAL HEALTH, LLC ADMINISTRATIVE | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $485K |
| UNUM LIFE INSURANCE COMPANY OF AMER EIN 01-0278678 ADMINISTRATIVE | Contract Administrator Service code 13 | — | $184K |
| ALLEGIANCE BENEFIT PLAN MANAGEMENT EIN 81-0400550 ADMINISTRATIVE | Contract Administrator Service code 13 | — | $28K |
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 | 30,661 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 329 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 30,990 | 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.