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 |
|---|---|---|---|
| LAUNDRY DIST FOODSVCS JB WKR UNITED EIN 27-3605306 EMPLOYEE ORGANIZATION | Contract Administrator Service code 13 | — | $910K |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 23-7391136 | Claims processing Service code 12 | — | $520K |
| ALICARE INC EIN 13-3432221 | Claims processing Service code 12 | — | $493K |
| ALICARE MEDICAL MANAGEMENT INC EIN 13-3860528 | Claims processing Service code 12 | — | $149K |
| BENECARD EIN 22-2998772 | Claims processing Service code 12 | — | $146K |
| SAX LLP EIN 81-2950760 | Accounting (including auditing) Service code 10 | — | $110K |
| AMALGAMATED BANK EIN 13-4920330 | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $75K |
| SELE-DENT INC EIN 11-3310187 | Claims processing Service code 12 | — | $26K |
| ALLIANT INSURANCE SERVICES, INC EIN 33-0785439 | Insurance agents and brokers Service code 22 | — | $21K |
| BARNES, IACCARINO & SHEPHERD LLP EIN 26-3858697 | Legal Service code 29 | — | $18K |
| EQUIAN, LLC EIN 27-0083277 | Insurance services Service code 23 | — | $12K |
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 | 1,977 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,977 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.