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 |
|---|---|---|---|
| VOYA RETIRMENT INSURANCE & ANNUITY EIN 71-0294708 RECORD KEEPER | Investment advisory (participants); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $25K |
| INDEPENDENT FINANCIAL GROUP INVESTMENT ADVISOR | Investment advisory (participants); Investment advisory (plan); Direct payment from the plan; Participant communication Service code 26 | 115 WEST MAIN STREET SUITE 210 WEST DUNDEE, IL 60118 | $20K |
| ASSOCIATED PENISON SERVICES, INC. | Other services Service code 49 | — | $15K |
| CROWE LLP EIN 35-0921680 CPA PLAN AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $14K |
| ASSOCIATED PENSION SERVICES, INC. EIN 36-3580924 THIRD PARTY ADMINISTRATOR | Other services; Direct payment from the plan Service code 49 | — | $4K |
| MORNINGSTAR INVEMENT MANAGEMENT | Investment advisory (participants) Service code 26 | — | $3K |
| VOYA RETIREMENT INSURANCE & ANNUITY | Investment advisory (participants) Service code 26 | — | $302 |
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 | 178 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 32 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 217 | 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.