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 |
|---|---|---|---|
| ALIGHT SOLUTIONS LLC EIN 82-1061233 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $4.0M |
| AON CONSULTING, INC. EIN 22-2232264 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $1.3M |
| EXPRESS SCRIPTS, INC EIN 22-3461740 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $1.0M |
| UNITED HEALTHCARE EIN 36-2739571 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $778K |
| AETNA EIN 06-6033492 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $458K |
| PRICEWATERHOUSE COOPERS LLC EIN 13-4008324 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $367K |
| CANDID LITHO EIN 13-3574319 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $311K |
| IBM WATSON HEALTH EIN 13-0871985 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $148K |
| NOKIA OF AMERICA CORPORATION EIN 22-3408857 EMPLOYER | Non-monetary compensation; Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $64K |
| DAY PITNEY EIN 22-1661404 NONE | Legal; Direct payment from the plan Service code 29 | — | $61K |
| UNIVERSAL MAILING SERVICE EIN 22-2381663 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $25K |
| SEPIRE LLC EIN 30-1111822 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $25K |
| GRAPHIC PARTNERS EIN 36-4074726 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $7K |
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. |
| Retired/separated still receiving benefits | 18,604 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 18 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1,322 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 19,944 | 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.