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 |
|---|---|---|---|
| EXPRESS SCRIPTS, INC EIN 43-1240563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.3M |
| BENEFIT PLAN ADMINISTRATION OF NJ EIN 22-2714749 SISTER OF TRUSTEE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $938K |
| DENTAL DELIVERY SYSTEMS, INC EIN 22-2020659 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $708K |
| MAGNA CARE ADMINISTRATORS, INC EIN 11-3410766 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $277K |
| MORGAN, LEWIS & BROCKIUS, LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $204K |
| DR BONI OPTICAL CENTER NONE | Direct payment from the plan; Claims processing Service code 12 | 245 PATTERSON AVE 973-785-3277 LITTLE FALLS, NJ 07424 | $50K |
| BARATZ & ASSOCIATES, PA EIN 22-2212404 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| WILENTZ, GOLDMAN, & SPITZER, PA EIN 22-2292919 NONE | Legal; Direct payment from the plan Service code 29 | — | $33K |
| MERRILL LYNCH PIERCE FENNER & SMITH EIN 13-5674085 NONE | Investment management fees paid directly by plan; Investment management; Investment advisory (plan) Service code 27 | — | $20K |
| RICHARD GABRIEL & ASSOCIATES, PA EIN 23-2817579 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $15K |
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 | 1,672 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,682 | 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.