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 |
|---|---|---|---|
| DESIGN BUILD, LLC NONE | Direct payment from the plan; Other services Service code 49 | 922 CEDAR GROVE RD. BROOMALL, PA 19008 | $3.7M |
| STEVEN LUTZ EIN 23-1919421 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $268K |
| STEVEN KUNCELMAN EIN 23-1919421 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $248K |
| PNC BANK NONE | Other fees; Direct payment from the plan Service code 50 | 500 FIRST AVENUE PITTSBURGH, PA 15219 | $230K |
| DIANE DELLO BUONO EIN 23-1919421 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $133K |
| LESLIE GABLE EIN 23-1919421 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $125K |
| PARTNERS IN SAFETY EIN 14-1761532 NONE | Other services; Direct payment from the plan Service code 49 | — | $104K |
| RONALD M MOORE NONE | Other fees; Direct payment from the plan Service code 50 | 819 COUNTY RD 1175 MOUNTAIN HOME, AR 72653 | $50K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $31K |
| INDUSTRIAL TRAINING INTERNATIONAL EIN 91-1499151 NONE | Direct payment from the plan; Other services Service code 49 | — | $30K |
| M3 INFORMATION TECHNOLOGY SOLUTIONS NONE | Consulting (general); Direct payment from the plan Service code 16 | 213 SPRING VIEW DRIVE DOUGLASVILLE, PA 19518 | $26K |
| HCDI INC EIN 20-8311656 NONE | Other fees; Direct payment from the plan Service code 50 | 103 SOCIETY CIRCLE NORTH WALES, PA 19454 | $21K |
| LARRY C. MENGEL INSTRUCTOR | Direct payment from the plan Service code 50 | 7 ROSEMARY DRIVE SINKING SPRING, PA 19608 | $19K |
| DANIEL WALKER INSTRUCTOR | Other services; Direct payment from the plan Service code 49 | 1045 ALLENTOWN ROAD GREENLANE, PA 180542505 | $14K |
| CONCENTRA MEDICAL CENTER EIN 75-2014828 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| ANN REMAK NONE | Other services; Direct payment from the plan Service code 49 | 516 CHURCH ROAD NORRISTOWN, PA 19403 | $13K |
| COYNE FIRST AID NONE | Direct payment from the plan; Other services Service code 49 | 916 PA-113 SELLERSVILLE, PA 18960 | $12K |
| 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 | — | $12K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Other fees; Investment management fees paid directly by plan Service code 51 | — | $10K |
| HRMM&L NONE | Legal; Direct payment from the plan Service code 29 | 375 MORRIS ROAD LANSDALE, PA 194460773 | $9K |
| DAYHILL GROUP NONE | Other services; Direct payment from the plan Service code 49 | 1205 WEST LAKES DR. SUITE 280 BERWYN, PA 19312 | $9K |
| STRASSHEIM GRAPHIC DESIGN NONE | Other services; Direct payment from the plan Service code 49 | 1500 SPRING GARDEN STREET PHILADELPHIA, PA 19130 | $8K |
| R&K LANDSCAPING EIN 23-2839044 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| ADP SCREENING EIN 84-1028716 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| MICHAEL NICHOLAS INSTRUCTOR | Other services; Direct payment from the plan Service code 49 | 2113 RIVER ROAD BENSALEM, PA 19020 | $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 | 1,405 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,405 | 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.