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 |
|---|---|---|---|
| MISSISSIPPI EARLY, LLC EIN 82-2975956 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $519K |
| KID'S PARADISE DAYCARE, INC. EIN 27-2838182 NONE | Direct payment from the plan; Other services Service code 49 | — | $295K |
| YOUNG IMPRESSIONS CHILD CARE CENTER EIN 82-3391032 NONE | Direct payment from the plan; Other services Service code 49 | — | $246K |
| EMPLOYEE 8 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $171K |
| EMPLOYEE 684 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $155K |
| TRUMONT, LLC EIN 83-3678652 NONE | Other services; Direct payment from the plan Service code 49 | — | $150K |
| EMPLOYEE 428 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $135K |
| EMPLOYEE 803 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $134K |
| EMPLOYEE 151 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $125K |
| EMPLOYEE 710 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $122K |
| HEAVEN SENT ANGELS LEARNING CENTER EIN 01-0805166 NONE | Direct payment from the plan; Other services Service code 49 | — | $122K |
| EMPLOYEE 597 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $121K |
| EMPLOYEE 874 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $119K |
| EMPLOYEE 789 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| EMPLOYEE 88 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| EMPLOYEE 406 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| EMPLOYEE 55 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| EMPLOYEE 667 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| EMPLOYEE 549 EIN 23-7418594 EMPLOYEE | Employee (plan) Service code 30 | — | $112K |
| EMPLOYEE 251 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $111K |
| EMPLOYEE 976 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $111K |
| EMPLOYEE 495 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $108K |
| EMPLOYEE 78 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| EMPLOYEE 450 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| EMPLOYEE 106 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $104K |
| EMPLOYEE 99 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $103K |
| EMPLOYEE 2207 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| PAYCHEX INC EIN 16-1124166 NONE | Direct payment from the plan; Other services Service code 49 | — | $101K |
| EMPLOYEE 958 EIN 23-7418594 EMPLOYEE | Direct payment from the plan Service code 50 | — | $100K |
| EMPLOYEE 932 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| EMPLOYEE 1526 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| EMPLOYEE 217 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| EMPLOYEE 517 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| EMPLOYEE 250 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| EMPLOYEE 259 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| FERGUSON FACES OF THE FUTURE II EIN 80-0465091 NONE | Other services; Direct payment from the plan Service code 49 | — | $90K |
| EMPLOYEE 25 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| EMPLOYEE 380 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $89K |
| EMPLOYEE 501 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| EMPLOYEE 111 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| EMPLOYEE 555 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| EMPLOYEE 1466 EIN 23-7418594 EMPLOYEE | Direct payment from the plan Service code 50 | — | $84K |
| EMPLOYEE 100 EIN 23-7418594 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| EMPLOYEE 636 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| EMPLOYEE 895 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| EMPLOYEE 950 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| MY INDEPENDENCE AT HOME NONE | Direct payment from the plan; Other services Service code 49 | 1 WINDING DR. 101 PHILADELPHIA, PA 19131 | $80K |
| BIG STEPS WITH LITTLE FEET LEARNING EIN 83-2378606 NONE | Direct payment from the plan; Other services Service code 49 | — | $80K |
| EMPLOYEE 222 EIN 23-7418594 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
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 | 1,789 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,789 | 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.