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 |
|---|---|---|---|
| COMMUNITY INSURANCE DBA ANTHEM EIN 31-1440175 NONE | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator; Claims processing Service code 12 | — | $3.7M |
| BATTELLE MEMORIAL INSTITUTE EIN 31-4379427 PLAN SPONSOR | Plan Administrator Service code 14 | — | $287K |
| CAREMARK PHARMACY, INC. EIN 05-0340626 NONE | Claims processing; Contract Administrator Service code 12 | — | $65K |
| PAYFLEX SYSTEMS USA, INC. EIN 91-1774434 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $36K |
| BENEFIT INFORMATICS, INC. EIN 75-3151345 NONE | Consulting (general) Service code 16 | — | $27K |
| CROWE HORWATH LLP EIN 35-0921680 NONE | Accounting (including auditing) Service code 10 | — | $18K |
| NORTHERN TRUST CORPORATION EIN 36-2723087 NONE | Custodial (securities) Service code 19 | — | $3K |
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 | 6,182 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 213 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,395 | 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.