No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UBS FINANCIAL SERVICES INC. EIN 13-2638166 INVESTMENT ADVISORY | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $90K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 RECORDKEEPER/BOOKKEEPER | Recordkeeping fees; Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant loan processing Service code 15 | — | $78K |
| WILLIAM VAUGHAN COMPANY EIN 34-1145015 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $47K |
| APPLE GROWTH PARTNERS EIN 81-4504770 VALUATION SERVICES | Valuation (appraisals, etc.); Direct payment from the plan Service code 34 | — | $18K |
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 | 532 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 432 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 8 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 973 | 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.