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 | Employee (plan); Direct payment from the plan Service code 30 | — | $252K |
| STEVEN KUNCELMAN EIN 23-1919421 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $222K |
| LESLIE GABLE EIN 23-1919421 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| DIANE DELLO BUONO EIN 23-1919421 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $116K |
| PARTNERS IN SAFETY EIN 14-1761532 NONE | Other services; Direct payment from the plan Service code 49 | — | $75K |
| CORLE CONSTRUCTION NONE | Other services; Direct payment from the plan Service code 49 | 114 ROSEMONT LANE IMLER, PA 16655 | $58K |
| DESIGN BUILD, LLC NONE | Other services; Direct payment from the plan Service code 49 | 922 CEDAR GROVE RD. BROOMALL, PA 19008 | $25K |
| PENN STATE EIN 24-6000376 NONE | Direct payment from the plan; Other services Service code 49 | — | $18K |
| CAMBRIA GLASS & INSULATION, INC. NONE | Other services; Direct payment from the plan Service code 49 | 1269 BROAD STREET JOHNSTOWN, PA 15906 | $16K |
| ANN REMAK NONE | Other services; Direct payment from the plan Service code 49 | 516 CHURCH ROAD NORRISTOWN, PA 19403 | $15K |
| KEV'S EXCAVATING, LLC NONE | Direct payment from the plan; Other services Service code 49 | 1408 LUTE ROAD EBENSBURG, PA 15931 | $15K |
| J.L. DUMM PLUMBING & HEATING NONE | Direct payment from the plan; Other services Service code 49 | 221 WATER PLANT ROAD NICKTOWN, PA 15762 | $15K |
| R&K LANDSCAPING EIN 23-2839044 NONE | Direct payment from the plan; Other services Service code 49 | — | $14K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Other fees; Investment management fees paid directly by plan; Investment advisory (plan); Account maintenance fees Service code 27 | — | $13K |
| LAWRENCE F. TORNETTA, LTD. EIN 23-2385729 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| CONCENTRA MEDICAL CENTER EIN 75-2014828 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| DREXEL UNIVERSITY EIN 23-1352630 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| DARRELL KEPHART INSTRUCTOR | Other services; Direct payment from the plan Service code 49 | BOX 96 RAMEY, PA 16671 | $9K |
| LARRY C. MENGEL INSTRUCTOR | Direct payment from the plan; Other services Service code 49 | 7 ROSEMARY DRIVE SINKING SPRING, PA 19608 | $8K |
| ADP SCREENING EIN 84-1028716 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| DANIEL WALKER INSTRUCTOR | Other services; Direct payment from the plan Service code 49 | 1045 ALLENTOWN ROAD GREENLANE, PA 180542505 | $7K |
| HRMM&L NONE | Legal; Direct payment from the plan Service code 29 | 375 MORRIS ROAD LANSDALE, PA 194460773 | $5K |
| COYNE FIRST AID NONE | Direct payment from the plan; Other services Service code 49 | 916 PA-113 SELLERSVILLE, PA 18960 | $5K |
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 | 1,036 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,036 | 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.