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 838 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $172K |
| EMPLOYEE 516 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $168K |
| EMPLOYEE 895 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $145K |
| EMPLOYEE 380 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $139K |
| EMPLOYEE 495 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| EMPLOYEE 250 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| DREXEL UNIVERSITY NONE | Other services; Direct payment from the plan Service code 49 | 3141 CHESTNUT STREET PHILADELPHIA, PA 19104 | $115K |
| EMPLOYEE 212 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| EMPLOYEE 796 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| EMPLOYEE 870 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| EMPLOYEE 501 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| EMPLOYEE 736 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| EMPLOYEE 811 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| EMPLOYEE 151 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| EMPLOYEE 259 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| EMPLOYEE 958 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| EMPLOYEE 597 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| EMPLOYEE 976 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| EMPLOYEE 406 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| EMPLOYEE 336 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| EMPLOYEE 850 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| EMPLOYEE 876 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| EMPLOYEE 636 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| EMPLOYEE 666 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| EMPLOYEE 547 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| EMPLOYEE 684 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| EMPLOYEE 637 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| EMPLOYEE 491 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| EMPLOYEE 831 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| EMPLOYEE 100 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| EMPLOYEE 710 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| EMPLOYEE 428 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| EMPLOYEE 450 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| EMPLOYEE 874 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $61K |
| PT EMPLOYEE B EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| EMPLOYEE 217 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| EMPLOYEE 458 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $51K |
| EMPLOYEE 803 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| EMPLOYEE 963 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $49K |
| EMPLOYEE 008 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $44K |
| PAYCHEX INC EIN 16-1124166 NONE | Other services; Direct payment from the plan Service code 49 | — | $44K |
| EMPLOYEE 440 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $39K |
| EMPLOYEE 106 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $37K |
| EMPLOYEE 932 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $37K |
| MRS CONNIE'S FAMILY CHILD CARE LLC EIN 27-0443226 NONE | Direct payment from the plan; Other services Service code 49 | — | $36K |
| PT EMPLOYEE C EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $34K |
| EMPLOYEE 950 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| EMPLOYEE 741 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| PT EMPLOYEE A EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
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 | 5,250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,250 | 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.