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 | — | $255K |
| EMPLOYEE 222 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $193K |
| EMPLOYEE 1513 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $158K |
| EMPLOYEE 250 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $149K |
| EMPLOYEE 1550 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $129K |
| EMPLOYEE 333 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $126K |
| MISSISSIPPI EARLY, LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 1316 PEPPER TOWN ROAD EUROPA, MS 39744 | $123K |
| EMPLOYEE 406 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $120K |
| EMPLOYEE 151 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $120K |
| EMPLOYEE 100 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| EMPLOYEE 684 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| EMPLOYEE 517 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| EMPLOYEE 548 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| EMPLOYEE 380 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| EMPLOYEE 870 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| EMPLOYEE 958 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| THE TRUST OF UNIVERSITY OF PA NONE | Other services; Direct payment from the plan Service code 49 | — | $111K |
| EMPLOYEE 549 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $107K |
| EMPLOYEE 78 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $104K |
| EMPLOYEE 106 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $101K |
| EMPLOYEE 811 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| EMPLOYEE 667 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| EMPLOYEE 1546 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $100K |
| EMPLOYEE 895 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| EMPLOYEE 1426 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| EMPLOYEE 103 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| EMPLOYEE 637 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| EMPLOYEE 932 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| EMPLOYEE 65 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| EMPLOYEE 888 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| EMPLOYEE 111 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| EMPLOYEE 516 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
| EMPLOYEE 555 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| EMPLOYEE 55 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| EMPLOYEE 1480 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| EMPLOYEE 1526 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| EMPLOYEE 2255 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| EMPLOYEE 224 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| EMPLOYEE 789 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| EMPLOYEE 976 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| EMPLOYEE 491 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| EMPLOYEE 1510 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| EMPLOYEE 1518 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| EMPLOYEE 1514 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| STEPPINGSTONE SCHOLARS, INC. EIN 42-1612131 NONE | Direct payment from the plan; Other services Service code 49 | — | $75K |
| EMPLOYEE 217 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| PHILADELPHIA FIRE DEPARTMENT NONE | Direct payment from the plan; Other services Service code 49 | 240 SPRING GARDEN STREET PHILADELPHIA, PA 19123 | $70K |
| EMPLOYEE 803 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| EMPLOYEE 450 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
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 | 3,744 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,744 | 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.