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 |
|---|---|---|---|
| BENEFIT PLAN ADMINISTRATORS, INC EIN 54-1419753 PLAN ADMINISTRATOR | Claims processing Service code 12 | — | $64K |
| NATIONAL INSURANCE SPECIALIST INSURANCE SERVICES | Insurance agents and brokers Service code 22 | 3070 CREEK FALLS WAY DULUTH, GA 30097 | $34K |
| MULTIPLAN INC INSURANCE SERVICES | Contract Administrator Service code 13 | 115 FIFTH AVE NEW YORK, NY 10003 | $24K |
| HEALTHIEST YOU WELLNESS SERVICES | Contract Administrator Service code 13 | 5350 E. HIGH ST. SUTIE 350 PHOENIX, AZ 85054 | $20K |
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 | 598 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 598 | 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.