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 |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC NONE | Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator Service code 12 | 220 VIRGINIA AVENUE INDIANAPOLIS, IN 462043632 | $1.3M |
| ALIGHT SOLUTIONS EIN 36-2235791 RECORDKEEPER | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $984K |
| INCLUDED HEALTH, INC. NONE | Claims processing; Direct payment from the plan Service code 12 | ONE CALIFORNIA STREET SUITE 2300 SAN FRANCISCO, CA 94111 | $380K |
| VIRGIN PULSE NONE | Direct payment from the plan; Claims processing Service code 12 | 75 FOUNTAIN ST PROVIDENCE, RI 02902 | $206K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $187K |
| HARTFORD EIN 06-0383750 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $126K |
| UNITEDHEALTHCARE SERVICES, INC. EIN 41-1289245 NONE | Claims processing; Other services Service code 12 | — | $115K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Participant communication; Float revenue; Claims processing; Other services; Direct payment from the plan; Contract Administrator; Non-monetary compensation Service code 12 | — | $94K |
| BEACON HEALTH OPTIONS, INC EIN 54-1414194 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $80K |
| WINSTON & STRAWN LLP NONE | Legal; Direct payment from the plan Service code 29 | 35 W WACKER DRIVE CHICAGO, IL 60601 | $49K |
| CONSUMER MEDICAL NONE | Direct payment from the plan; Claims processing Service code 12 | 141 LONGWATER DRIVE, SUITE 113A NORWELL, MA 02061 | $24K |
| JP MORGAN CHASE BANK, NA EIN 13-4994650 CUSTODIAN | Direct payment from the plan; Other commissions; Soft dollars commissions; Other fees; Float revenue; Distribution (12b-1) fees Service code 50 | — | $9K |
| AON CONSULTING, INC. EIN 22-2232264 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $7K |
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 NONE | Other fees; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $6K |
| JP MORGAN CHASE, NA | Float revenue Service code 62 | — | $3K |
| CIGNA | Named fiduciary; Direct payment from the plan; Participant communication; Other services; Float revenue; Contract Administrator; Non-monetary compensation; Claims processing Service code 12 | — | $0 |
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 | 4,302 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 316 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 339 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,957 | 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.