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 |
|---|---|---|---|
| NORTHERN TRUST COMPANY EIN 36-1561860 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $177K |
| MED-PAY INC. EIN 43-1318969 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $57K |
| BARBARA ESPLIN NONE | Direct payment from the plan; Consulting (general) Service code 16 | 6222 SEVEN LAKES WEST WEST END, NC 27376 | $41K |
| GRANT THORNTON LLP EIN 36-6055558 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $31K |
| THE SEGAL CO. EIN 13-2619259 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $24K |
| AIR LINE PILOTS ASSOCIATION INTL. EIN 36-0710830 PLAN SPONSOR | Direct payment from the plan; Plan Administrator Service code 14 | — | $24K |
| AL SMITH TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 535 HERNDON PARKWAY HERNDON, VA 20170 | $12K |
| FRANK MAGUIRE TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 535 HERNDON PARKWAY HERNDON, VA 20170 | $10K |
| MICHAEL BROOME TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 535 HERNDON PARKWAY HERNDON, VA 20170 | $10K |
| CHUBB GROUP OF INSURANCE COMPANIES EIN 13-1963496 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,382 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 598 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,980 | 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.