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 EIN 35-0781558 NONE | Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator Service code 12 | — | $1.7M |
| ALIGHT SOLUTIONS EIN 36-2235791 RECORDKEEPER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees Service code 15 | — | $992K |
| INCLUDED HEALTH, INC. EIN 45-3580052 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $395K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $212K |
| VIRGIN PULSE NONE | Direct payment from the plan; Claims processing Service code 12 | 75 FOUNTAIN ST PROVIDENCE, RI 02902 | $197K |
| HARTFORD EIN 06-0383750 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $134K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Other services; Float revenue; Claims processing; Participant communication; Contract Administrator; Direct payment from the plan; Non-monetary compensation Service code 12 | — | $97K |
| CARELON BEHAVORIAL HEALTH, INC EIN 54-1414194 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $90K |
| WINSTON & STRAWN LLP NONE | Legal; Direct payment from the plan Service code 29 | 35 W WACKER DRIVE CHICAGO, IL 60601 | $35K |
| MERCER LLC NONE | Direct payment from the plan; Claims processing Service code 12 | 155 N WACKER DRIVE CHICAGO, IL 60606 | $10K |
| AON CONSULTING, INC. EIN 22-2232264 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $7K |
| CIGNA | Non-monetary compensation; Direct payment from the plan; Contract Administrator; Other services; Participant communication; Named fiduciary; Claims processing; Float revenue 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 | 4,437 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 263 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 256 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,956 | 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.