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 |
|---|---|---|---|
| ANGELIQUE MARTINEZ EIN 34-1031303 EMPLOYEE | Contract Administrator Service code 13 | — | $70K |
| JOSEPH J SOLITO JR EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $61K |
| GREGORY F HALE EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $44K |
| STEVE M WHITE EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $33K |
| CHRISTIAN W FLY EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $26K |
| CHARLES SKIDMORE EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $22K |
| MALCOLM T MORRISON II EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $20K |
| DAVID E LANDSTROM EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $20K |
| SERGE J DECOSTE EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $18K |
| RONALD M TOKACH EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $17K |
| ARTHUR G RAYNER EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $10K |
| BRIAN A MARTIN EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $8K |
| ANDREW J ORTIZ EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $7K |
| TERRY K LOVE EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $7K |
| CHRIS L ALSTON EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $6K |
| JEFFREY B ADAMS EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $6K |
| DONALD L WOOD EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $6K |
| KARY M BENNETT EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $6K |
| KEITH HARTLEY EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $6K |
| MIKE A ARAUJO EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $5K |
| STEVEN W WHEELER EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $5K |
| MICHAEL B BRANSON EIN 34-1031303 EMPLOYEE OF RELATED ORG. | Other fees Service code 99 | — | $5K |
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 | 16,849 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 16,849 | 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.