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 |
|---|---|---|---|
| LEE COLE EIN 23-7245050 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| LOUIS C. CARBERRY EIN 23-7245050 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| ILA BENEFIT FUND OFFICE EIN 23-1734119 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Claims processing; Plan Administrator Service code 12 | — | $24K |
| COZEN O'CONNOR NONE | Legal; Direct payment from the plan Service code 29 | 1650 MARKET STREET, SUITE 2800 PHILADELPHIA, PA 19103 | $15K |
| SPEAR WILDERMAN EIN 23-2749511 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| FISCHER DORWART, PC EIN 23-2247478 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $6K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $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 | 595 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 595 | 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.