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 |
|---|---|---|---|
| USW LOCAL 286 UNION EIN 23-0724665 SPONSORING LABOR ORG. | Direct payment from the plan; Plan Administrator Service code 14 | — | $241K |
| THE SAVITZ ORGANIZATION, INC. EIN 23-1700844 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $93K |
| SPEAR WILDERMAN, P.C. EIN 23-2749511 LEGAL COUNSEL TO USW L286 | Legal; Direct payment from the plan Service code 29 | — | $67K |
| SOBOL & SOBOL P.C. EIN 36-4509261 NONE | Legal; Direct payment from the plan Service code 29 | — | $66K |
| USI CONSULTING GROUP NONE | Investment advisory (plan); Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 27 | 95 GLASTONBURY BLVD, STE 102 GLASTONBURY, CT 06033 | $56K |
| JAMES N. GLONER TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 563 PAXSON LANE LANGHORNE, PA 19047 | $30K |
| BARNES, IACCARINO & SHEPHERD LLP NONE | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $18K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| NORTHEASTERN BENEFITS EIN 22-2621235 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $12K |
| RELIANCE TRUST COMPANY EIN 58-1428634 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $11K |
| MONTGOMERY MCCRACKEN WALKER RHOADS EIN 23-0888490 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| CARLO SIMONE III EIN 23-0724665 EMPLOYEE | Employee (plan); Recordkeeping fees; Other fees Service code 30 | — | $0 |
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 | 1,875 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2,703 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 353 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 4,931 | 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.