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 |
|---|---|---|---|
| WILLIE THORPE NONE | Direct payment from the plan; Plan Administrator Service code 14 | 313 SOUTH JEFFERSON ST DAYTON, OH 45402 | $138K |
| KATELIN A. MANTIA NONE | Employee (plan); Direct payment from the plan Service code 30 | 313 SOUTH JEFFERSON ST DAYTON, OH 45402 | $96K |
| MARK PROFFITT NONE | Employee (plan); Direct payment from the plan Service code 30 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $96K |
| SEGAL MARCO ADVISORS NONE | Investment management; Direct payment from the plan; Investment advisory (plan) Service code 27 | 550 W. WASHINGTON BLVD. CHICAGO, IL 60661 | $90K |
| AMALGAMATED BANK NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Custodial (other than securities); Custodial (securities); Securities brokerage Service code 18 | — | $45K |
| HAMMERMAN, GRAF, HUGHES & CO., INC. EIN 31-1183837 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 4486 INDIAN RIPPLE RD DAYTON, OH 45440 | $23K |
| KENNEDY, JENNIK & MURRAY PC NONE | Direct payment from the plan; Legal Service code 29 | 113 UNIVERSITY PLACE 7TH NEW YORK, NY 10003 | $18K |
| LESLIE CASH NONE | Trustee (individual); Direct payment from the plan Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| MARCUS STEVE LYKINS TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| MAUREEN PATTERSON TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| NAN WHALEY TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| PETER MITCHELL TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 313 SOUTH PATTERSON ST DAYTON, OH 45402 | $15K |
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 | 11,471 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 11,471 | 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."
No prospect flags tripped on this filing.