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 |
|---|---|---|---|
| 1099 PRO INC NONE | Accounting (including auditing); Consulting (general) Service code 10 | 23901 CALABASAS RD, SUITE CALABASAS, CA 91302 | $548K |
| UAW GM CENTER FOR HUMAN RESOURCES EIN 38-3211550 AFFILIATE | Other services Service code 49 | — | $236K |
| SAGETACK, LLC EIN 81-3727053 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $182K |
| DOLORES M GALEA EIN 81-4920943 NONE | Employee (plan); Named fiduciary Service code 30 | — | $174K |
| ELAINE EIZELMAN EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $155K |
| DONALD F DACE EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $154K |
| HARRELL L BAILEY EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $125K |
| NINA M SCIMEMI EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $98K |
| PETER M MILES EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $88K |
| GEORGI-ANN BARGAMIAN EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $78K |
| TAMMY M SNELL EIN 81-4920943 NONE | Claims processing; Employee (plan) Service code 12 | — | $74K |
| ALTA VISTA NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $73K |
| WILLIAM SMITH EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $72K |
| MARK STROLLE EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $71K |
| VIPERSPACE INC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 10732 PLAZA DR. WHITMORE LAKE, MI 48189 | $63K |
| JOSE' DIAZ EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $53K |
| DIANNA FORTON EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $48K |
| KATHRYN A DAIGNEAU EIN 81-4920943 RELATIVE | Employee (plan) Service code 30 | — | $48K |
| KIRI KORYCINSKI EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $39K |
| GEORGE JOHNSON & COMPANY EIN 38-2029668 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| AUDREY HUGHES EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $24K |
| CONVERGE ONE SUPPLIER | Other services Service code 49 | PO BOX 1450NW 5806, MINNEAPOLIS, MN 55485 | $16K |
| FREDERICK MILLER EIN 37-5460723 NONE | Consulting fees Service code 70 | — | $15K |
| COMERICA BANK EIN 42-1741646 SUPPLIER | Custodial (securities); Other services; Other investment fees and expenses; Shareholder servicing fees; Float revenue Service code 19 | — | $13K |
| ERNST & YOUNG EIN 34-6565596 NONE | Legal Service code 29 | — | $8K |
| SIRIUS COMPUTER SOLUTIONS INC. NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | P.O. BOX 202289 DALLAS, TX 75320 | $7K |
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 | 143,033 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 335,288 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 478,321 | 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.