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 |
|---|---|---|---|
| QUANTUM HEALTH, INC EIN 20-8423895 NONE | Claims processing Service code 12 | — | $1.1M |
| ANTHEM BLUE CROSS AND BLUE SHIELD EIN 31-1440175 NONE | Claims processing Service code 12 | — | $1.0M |
| AMERIBEN EIN 82-0497661 NONE | Claims processing Service code 12 | — | $938K |
| LIVONGO HEALTH INC. EIN 26-3542036 NONE | Claims processing Service code 12 | — | $427K |
| METROPOLITAN LIFE INSURANCE CO. EIN 13-5581829 NONE | Claims processing Service code 12 | — | $155K |
| UNITED BEHAVIORAL HEALTH EIN 94-2649097 NONE | Claims processing Service code 12 | — | $122K |
| OPTUMRX INC. EIN 33-0441200 NONE | Claims processing Service code 12 | — | $67K |
| UMR,INC EIN 39-1995276 NONE | Claims processing Service code 12 | — | $55K |
| TELADOC HEALTH INC. EIN 04-3705970 NONE | Claims processing Service code 12 | — | $42K |
| BUSINESSOLVER.COM INC. EIN 42-1503807 NONE | Claims processing Service code 12 | — | $25K |
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 | 3,802 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 42 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,844 | 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.