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 |
|---|---|---|---|
| EMPLOYEE 133 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $180K |
| EMPLOYEE 1094 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $137K |
| EMPLOYEE 1197 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $134K |
| EMPLOYEE 25 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| EMPLOYEE 2157 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| EMPLOYEE 2194 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| EMPLOYEE 1017 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $100K |
| EMPLOYEE 2152 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| EMPLOYEE 2209 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| EMPLOYEE 377 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| EMPLOYEE 362 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| EMPLOYEE 196 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| EMPLOYEE 2228 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| EMPLOYEE 1353 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| EMPLOYEE 2164 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| EMPLOYEE 2239 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| EMPLOYEE 26 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| EMPLOYEE 1136 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $86K |
| EMPLOYEE 2255 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| EMPLOYEE 2221 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| EMPLOYEE 1269 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| EMPLOYEE 2010 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| EMPLOYEE 2284 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| EMPLOYEE 2282 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| EMPLOYEE 1340 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| EMPLOYEE 2242 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| EMPLOYEE 2207 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| EMPLOYEE 2203 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| EMPLOYEE 2250 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| EMPLOYEE 665 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| EMPLOYEE 1405 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $59K |
| EMPLOYEE 882 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| EMPLOYEE 1093 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| EMPLOYEE 1347 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| EMPLOYEE 2188 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $56K |
| EMPLOYEE 2227 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| EMPLOYEE 2240 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $52K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| DREXEL UNIVERSITY NONE | Direct payment from the plan; Other services Service code 49 | 3141 CHESTNUT STREET PHILADELPHIA, PA 19104 | $48K |
| EMPLOYEE 2261 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $47K |
| EMPLOYEE 2153 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| PAYCHEX INC EIN 16-1124166 NONE | Direct payment from the plan; Other services Service code 49 | — | $39K |
| EMPLOYEE 2245 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| CANON SOLUTIONS AMERICA NONE | Direct payment from the plan; Copying and duplicating Service code 36 | ONE CANON PARK MELVILLE, NY 11747 | $26K |
| SMITH-EDWARDS DUNLAP CO. EIN 23-0539350 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $25K |
| CANON FINANCIAL SERVICES NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 158 GAITHER DRIVE - SUITE 200 MOUNT LAUREL, NJ 08054 | $20K |
| FREEDMAN & LORRY, P.C. EIN 23-2158375 NONE | Legal; Direct payment from the plan Service code 29 | — | $19K |
| VOXNET, INC. NONE | Other services; Direct payment from the plan Service code 49 | 400 DAVIS DRIVE - SUITE 100 PLYMOUTH MEETING, PA 19462 | $19K |
| CINDY MARSELIS NONE | Direct payment from the plan; Other services Service code 49 | 2320 EDGE HILL RD HUNTINGDON VALLEY, PA 19006 | $16K |
| FRANCYNE WHARTON NONE | Other services; Direct payment from the plan Service code 49 | 23 N SCOTT AVENUE GLENOLDEN, PA 19036 | $11K |
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 | 4,597 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,597 | 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.