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 |
|---|---|---|---|
| STEVEN LUTZ EIN 23-1919421 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $301K |
| JOSEPH MUSCARA EIN 23-1919421 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $275K |
| PARTNERS IN SAFETY EIN 14-1761532 NONE | Direct payment from the plan; Other services Service code 49 | — | $220K |
| STEVEN KUNCELMAN EIN 23-1919421 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $201K |
| DIANE DELLO BUONO EIN 23-1919421 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $160K |
| LESLIE FULMER EIN 23-1919421 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $151K |
| M3 INFORMATION TECHNOLOGY SOLUTIONS NONE | Consulting (general); Direct payment from the plan Service code 16 | 213 SPRING VIEW DRIVE DOUGLASVILLE, PA 19518 | $46K |
| PROFESSIONAL BUILDING SERVICES INC NONE | Other services; Direct payment from the plan Service code 49 | 3936 MILLER RD NEWTOWN SQUARE, PA 19073 | $40K |
| IBEW LOCAL 126 EIN 23-1302203 RELATED PARTY | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $33K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| J&V LAWN SERVICE, LLC NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 1473 BLUE BELL, PA 19422 | $18K |
| COYNE FIRST AID NONE | Other services; Direct payment from the plan Service code 49 | 916 PA-113 SELLERSVILLE, PA 18960 | $17K |
| CONCENTRA MEDICAL CENTER EIN 75-2014828 NONE | Direct payment from the plan; Other services Service code 49 | — | $15K |
| DANIEL WALKER INSTRUCTOR | Direct payment from the plan; Other services Service code 49 | 1045 ALLENTOWN ROAD GREENLANE, PA 180542505 | $13K |
| FOX ROTHSCHILD LLP EIN 23-1404723 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| MORGAN STANLEY EIN 20-8764829 NONE | Investment advisory (plan); Other investment fees and expenses; Other services; Direct payment from the plan; Other commissions; Securities brokerage Service code 27 | — | $10K |
| RAMM INC NONE | Direct payment from the plan; Other services Service code 49 | 15 UNION HILL RD WEST CONSHOHOCKEN, PA 19428 | $7K |
| ABIGAYL LUTZ NONE | Direct payment from the plan; Other services Service code 49 | 8427 SOUTH RIDGE DR MACUNGIE, PA 18062 | $7K |
| LARRY C. MENGEL INSTRUCTOR | Direct payment from the plan; Other services Service code 49 | 7 ROSEMARY DRIVE SINKING SPRING, PA 19608 | $7K |
| CLEARY, JOSEM, AND TRIGIANAI, LLP EIN 23-2657967 | Legal; Direct payment from the plan Service code 29 | — | $6K |
| BERNARD RAZAWICH INSTRUCTOR | Other services; Direct payment from the plan Service code 49 | 22 MARINA DRIVE TUNKHANNOCK, PA 18657 | $6K |
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 | 1,704 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,704 | 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.