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 |
|---|---|---|---|
| HUB INTERNATIONAL MOUNTAIN STATES L EIN 83-0185720 CONTRACT ADMINISTRATOR | Accounting (including auditing); Contract Administrator; Plan Administrator; Other services; Insurance agents and brokers Service code 10 | 800 COFFEEN AVE SHERIDAN, WY 82801 | $226K |
| ALLEGIANT BENEFIT PLAN MANAGEMENT EIN 81-0400550 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing) Service code 10 | PO BOX 3018 MISSOULA, MT 598063018 | $152K |
| WYOMING HEALTH FAIRS NONE | Other services Service code 49 | 115 SOUTH ELM CASPER, WY 82601 | $86K |
| CONNECTICUT GENERAL LIFE PPO ACCESS FEE | Claims processing; Plan Administrator Service code 12 | — | $28K |
| WY CHAMBERS OF COMMERCE ASSOC EIN 20-8856052 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 314 S GILLETE AVE GILLETTE, WY 82716 | $12K |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | 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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.