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 |
|---|---|---|---|
| FREEDMAN & LORRY PC EIN 23-2158375 NONE | Legal Service code 29 | 1601 MARKET STREET PHILADELPHIA, PA 19135 | $181K |
| O'BRIEN, BELLAND & BUSHINSKY NONE | Legal Service code 29 | 1526 BERLIN ROAD CHERRY HILL, NJ 08003 | $180K |
| LAW OFFICES OF DOUGLAS DOLFMAN NONE | Legal Service code 29 | 1617 JFK BLVD - SUITE 2000 PHILADELPHIA, PA 19103 | $71K |
| BRIDGEWAY BENEFIT TECHNOLOGIES LLC NONE | Consulting (general) Service code 16 | 3000 SOUTH LENOLA ROAD PHILADELPHIA, PA 19134 | $56K |
| PERRY N. BLACKMAN, CPA EIN 23-2244789 NONE | Accounting (including auditing) Service code 10 | 506 CORPORATE DR W LANGHORNE, PA 19047 | $52K |
| THELMA TAPIA EMPLOYEE | Employee (plan) Service code 30 | 665 NORTH BROAD ST PHILADELPHIA, PA 19123 | $47K |
| JAMILLAH BYRD EMPLOYEE | Employee (plan) Service code 30 | 665 NORTH BROAD ST PHILADELPHIA, PA 19123 | $41K |
| MITCHELL & TITUS, LLP EIN 13-2781641 NONE | Accounting (including auditing) Service code 10 | 80 PINE STREET, 32ND FLR NEW YORK, NY 10005 | $39K |
| SUSANIN, WIDMAN & BRENNAN, PC EIN 23-2265950 NONE | Legal Service code 29 | 656 SWEDESFORD RD WAYNE, PA 19087 | $38K |
| BROWNING LEGAL GROUP LLC NONE | Legal Service code 29 | 25 W. SECOND STREET MEDIA MEDIA, PA 19063 | $37K |
| CHARTWELL INVESTMENT PARTNERS NONE | Investment management Service code 28 | 1205 WESTLAKES DRIVE BERWYN, PA 19312 | $35K |
| ALAN PARHAM EMPLOYEE | Employee (plan) Service code 30 | 665 NORTH BROAD ST PHILADELPHIA, PA 19123 | $35K |
| CLEARY, JOSEM & TRIGIANI EIN 23-2657967 NONE | Legal Service code 29 | 325 CHESTNUT ST PHILADELPHIA, PA 19106 | $29K |
| SEGAL CONSULTING NONE | Consulting fees Service code 70 | 333 WEST 34TH ST NEW YORK, NY 10001 | $22K |
| PAYCHEX NONE | Accounting (including auditing) Service code 10 | DEPT 7101 CAROL STREAM, IL 60122 | $22K |
| GRANITE RUN TECH SOLUTIONS LLC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 602 WASHINGTON AVE MEDIA, PA 19063 | $20K |
| IRON MOUNTAIN STAGE NONE | Other services Service code 49 | 1000 CAMPUS DRIVE COLLEGEVILLE, PA 19426 | $14K |
| MINSTER & FACCIOCO, INC NONE | Legal Service code 29 | 521 S 2ND STREET PHILADELPHIA, PA 19147 | $10K |
| INVESTMENT PERFORMANCE SERVICES NONE | Investment management Service code 28 | P.O. BOX 9510 SAVANNAH, GA 31412 | $9K |
| VAUGHN A. BOOKER, ESQ. NONE | Legal Service code 29 | 1315 WALNUT ST 1326 PHILADELPHIA, PA 19107 | $8K |
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 | 3,240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3,240 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,480 | 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.