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 |
|---|---|---|---|
| NORTHERN TRUST COMPANY EIN 36-1561860 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $330K |
| MACKAY SHIELDS EIN 13-2631681 INVESTMENT MANAGER | Investment management Service code 28 | — | $235K |
| STATE STREET RESEARCH AND MANAGEMEN EIN 13-3142135 INVESTMENT MANAGER | Investment management Service code 28 | — | $216K |
| MELLON BANK EIN 25-6013803 INVESTMENT MANAGER | Investment management Service code 28 | — | $102K |
| BLACKROCK EIN 26-4299518 TRUST CO | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $102K |
| NEWPORT GROUP SECURITIES EIN 59-3099288 CONSULTING | Investment advisory (plan) Service code 27 | — | $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 | 2,436 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,981 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2,763 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1,152 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 10,332 | 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.