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 |
|---|---|---|---|
| VALERIANO, ARMANDO J. EIN 27-3157473 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $239K |
| SESTAYO, JOHN EIN 27-3157473 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $209K |
| BARBOSA, ANTONIO EIN 27-3157473 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $195K |
| LOPEZ, DAVID EIN 27-3157473 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $136K |
| RAIGOSA, NATALIE EIN 27-3157473 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $61K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $40K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $23K |
| GORLICK, KRAVITZ, & LISTHAUS, P.C. EIN 13-3790829 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $9K |
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 | 2,605 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,605 | 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.