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 | Plan Administrator Service code 14 | 313 SOUTH JEFFERSON ST DAYTON, OH 45402 | $142K |
| KATELIN A. MANTIA NONE | Employee (plan) Service code 30 | 313 SOUTH JEFFERSON ST DAYTON, OH 45402 | $99K |
| MARK PROFFITT NONE | Employee (plan) Service code 30 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $99K |
| SEGAL MARCO ADVISORS NONE | Investment advisory (plan) Service code 27 | 550 W. WASHINGTON BLVD. CHICAGO, IL 60661 | $90K |
| LAZARD ASSET MANAGEMENT NONE | Investment advisory (plan) Service code 27 | P.O. BOX 5394 NEW YORK, NY 101855394 | $84K |
| RED HAWK TECHNOLOGIES LLC NONE | Other services Service code 49 | P.O. BOX 72551 NEWPORT, KY 41072 | $57K |
| AMALGAMATED BANK NONE | Securities brokerage Service code 33 | — | $41K |
| HAMMERMAN, GRAF, HUGHES & CO., INC. EIN 31-1183837 NONE | Accounting (including auditing) Service code 10 | 4486 INDIAN RIPPLE RD DAYTON, OH 45440 | $17K |
| LESLIE CASH TRUSTEE | Trustee (individual) Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| MARCUS STEVE LYKINS TRUSTEE | Trustee (individual) Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| MAUREEN PATTERSON TRUSTEE | Trustee (individual) Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| NAN WHALEY TRUSTEE | Trustee (individual) Service code 20 | 313 SOUTH JEFFERSON ST. DAYTON, OH 45402 | $15K |
| PETER MITCHELL TRUSTEE | Trustee (individual) Service code 20 | 313 SOUTH PATTERSON ST DAYTON, OH 45402 | $15K |
| KENNEDY, JENNIK & MURRAY PC NONE | Legal Service code 29 | 113 UNIVERSITY PLACE 7TH NEW YORK, NY 10003 | $11K |
| NEXTSTEP NETWORKING NONE | Other services Service code 49 | 4350 GLENDALE MILFORD RD CINCINNATI, OH 45242 | $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 | 10,888 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,888 | 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.