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 |
|---|---|---|---|
| MICHELLE M. HOKE PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 303 DUSTYS ROAD COVINGTON, VA 24426 | $102K |
| BRANDI VIA EMPLOYEE | Employee (plan) Service code 30 | 121 MAPLE LN COVINGTON, VA 24426 | $59K |
| JULIE N. TAYLOR EMPLOYEE | Employee (plan) Service code 30 | 951 GAME TRAIL WAY CLIFTON FORGE, VA 24422 | $50K |
| KAREN P. CASH EMPLOYEE | Employee (plan) Service code 30 | 576 E GRAY ST COVINGTON, VA 24426 | $50K |
| RODNEY NICELY EMPLOYEE | Employee (plan) Service code 30 | 200 MEADOWDALE ROAD CLIFTON FORGE, VA 24422 | $50K |
| RSUI INDEMNITY COMPANY EIN 16-0366830 INSURANCE PROVIDER | Insurance services Service code 23 | 945 PACES FERRY ROAD ATLANTA, GA 303261160 | $33K |
| FIRST COMMUNITY BANK TRUST EIN 55-0118830 INVESTMENT MANAGEMENT | Investment management fees paid directly by plan Service code 51 | 211 FEDERAL ST BLUEFIELD, WV 24701 | $18K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,415 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,415 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.