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 |
|---|---|---|---|
| INTERCONTINENTAL R/E CORP EIN 04-2895544 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $138K |
| THE LOOMIS, SAYLERS & CO., LP EIN 04-3200030 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $118K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432392 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $108K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $100K |
| HARDMAN JOHNSTON GLOBAL ADVISORS EIN 13-3257590 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $99K |
| JOE MOSKAUSKI EIN 23-1972409 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $89K |
| RAE GROUP LLC EIN 83-4646394 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $82K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Direct payment from the plan Service code 50 | — | $75K |
| JOANN PROCOPIO EIN 23-1578380 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $44K |
| WELLS FARGO EIN 94-1347393 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Investment management; Investment management fees paid directly by plan Service code 15 | — | $40K |
| MWM LAW, LLC EIN 88-3166568 NONE | Legal; Direct payment from the plan Service code 29 | — | $37K |
| SUSANIN, WIDMAN & BRENNAN, P.C. EIN 23-2265950 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| CLARE CREIGHTON EIN 23-1972409 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $33K |
| CHARTWELL INVESTMENT PARTNERS, LP EIN 36-4776242 NONE | Soft dollars commissions; Investment management Service code 28 | — | $31K |
| LAUREN MARCHIANO EIN 23-1972409 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $29K |
| ASB CAPITAL MANAGEMENT, LLC EIN 80-0618452 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $25K |
| CHEVY CHASE TRUST COMPANY EIN 52-2037618 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $25K |
| WELLINGTON TRUST, CO. EIN 04-2755549 NONE | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Soft dollars commissions Service code 51 | — | $20K |
| NORTHERN TRUST CORPORATION EIN 36-2723087 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $18K |
| OLD GLORY ASSET MANAGEMENT, LLC EIN 90-0065134 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $17K |
| XPAN LAW PARTNERS LLC EIN 81-5145649 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| FOUNDRY PARTNERS LLC EIN 46-1184506 NONE | Investment management fees paid indirectly by plan; Soft dollars commissions; Securities brokerage commissions and fees; Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $14K |
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 | 395 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 377 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 454 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 164 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,390 | 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.