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 | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 23901 CALABASAS RD, SUITE CALABASAS, CA 91302 | $761K |
| DOLORES M GALEA EIN 81-4920943 NONE | Employee (plan); Plan Administrator; Named fiduciary Service code 14 | — | $185K |
| ELAINE EIZELMAN EIN 81-4920943 NONE | Plan Administrator; Employee (plan); Named fiduciary Service code 14 | — | $177K |
| SAGETACK, LLC EIN 81-3727053 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $165K |
| GEORGI-ANN BARGAMIAN EIN 81-4920943 NONE | Employee (plan); Plan Administrator; Named fiduciary Service code 14 | — | $157K |
| HARRELL L BAILEY EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing); Named fiduciary Service code 10 | — | $147K |
| 1400 WOODBRIDGE VENTURES, LLC NONE | Other services Service code 49 | 600 N. OLD WOODWARD,100 BIRMINGHAM, MI 48009 | $126K |
| NINA M SCIMEMI EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing); Named fiduciary Service code 10 | — | $113K |
| CAROLYN BERNSTEIN EIN 81-4920943 NONE | Employee (plan); Plan Administrator Service code 14 | — | $108K |
| STEVEN WILLIAMS EIN 81-4920943 NONE | Plan Administrator; Employee (plan) Service code 14 | — | $99K |
| VIPERSPACE INC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 10732 PLAZA DR. WHITMORE LAKE, MI 48189 | $94K |
| TAMMY M SNELL EIN 81-4920943 NONE | Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $76K |
| UAW GM CENTER FOR HUMAN RESOURCES EIN 38-3211550 AFFILIATE | Other services Service code 49 | — | $63K |
| ALTA VISTA NONE | Consulting (general) Service code 16 | — | $61K |
| DONALD F DACE EIN 81-4920943 NONE | Plan Administrator Service code 14 | — | $59K |
| JOSE' DIAZ EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $58K |
| KATHRYN A DAIGNEAU EIN 81-4920943 RELATIVE | Claims processing; Employee (plan) Service code 12 | — | $52K |
| DIANNA FORTON EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $52K |
| KIRI KORYCINSKI EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $42K |
| AUDREY HUGHES EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $40K |
| GEORGE JOHNSON & COMPANY EIN 38-2029668 NONE | Accounting (including auditing) Service code 10 | — | $28K |
| FREDERICK MILLER EIN 37-5460723 NONE | Consulting (general) Service code 16 | — | $16K |
| VANGUARD- ASCENSUS TRUST NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees Service code 15 | 1655 43RD STREET SOUTH FARGO, ND 581033582 | $15K |
| COMERICA BANK EIN 42-1741646 CUSTODIAN | Other investment fees and expenses; Float revenue; Custodial (securities); Shareholder servicing fees; Other services Service code 19 | — | $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 | 135,243 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 423,290 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 558,533 | 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.