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 |
|---|---|---|---|
| DARYL K. GALLANT EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $130K |
| JAMES D. CHAPMAN III EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| JEFFREY D. SMRZ EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| SCOTT H. MCDONALD EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $103K |
| GREGORY TAYLOR EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| ELLIOTT J. COOK EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| DAVID D. KOENIG EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| TYRESE A. WEST EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $93K |
| JAMES D. RUBEL EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Direct payment from the plan; Accounting (including auditing); Contract Administrator; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $90K |
| GREGORY A. BLAIR EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| KIM L. DENNISON EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| TIM M. STEIN EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| THERESA R. FREDERICK EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| DEREK INMAN EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| ANTONIO CALZADIA EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| LUIS PEREZ EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| DAVID P. MILLER EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Sub-transfer agency fees Service code 30 | — | $77K |
| CRAIG R. PALLAS EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| DANIELLE K. LARES EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| APRIL M. HOLLEY EIN 23-7187036 EMPLOYEE OF THE FUND | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| HRISAIS K. SKORNA EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| JAMIE J. RUPERT EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| JAMES WEISS EIN 23-7187036 EMPLOYEE OF THE FUND | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| WATKINS PAWLICK CALATIE & PRIFTI PC EIN 83-2893229 NONE | Legal; Direct payment from the plan Service code 29 | — | $38K |
| PAYCHEX, INC EIN 16-1124166 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $37K |
| BENDA, GRACE, STULZ & COMPANY, PC EIN 38-2284921 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $24K |
| LABORERS JOINT DELIQUENCY COMM. EIN 38-2286296 NONE | Other services; Direct payment from the plan Service code 49 | — | $13K |
| PLANTE & MORAN, PLLC EIN 38-1357951 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $11K |
| SEGAL, BRYANT & HAMILL EIN 41-1788385 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $10K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $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 | 7,476 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,476 | 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.