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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $242K |
| BENEFITS MANAGEMENT GROUP, INC EIN 20-0188125 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $203K |
| MERRILL LYNCH EIN 13-5674085 NONE | Securities brokerage commissions and fees; Other services; Non-monetary compensation; Investment management fees paid directly by plan; Distribution (12b-1) fees; Sub-transfer agency fees; Investment management fees paid indirectly by plan; Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $93K |
| KERBER, ECK & BRAECKEL LLP EIN 43-0352985 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $49K |
| MED-CARE MANAGEMENT EIN 88-0429522 NONE | Direct payment from the plan; Other services; Consulting (general) Service code 16 | — | $35K |
| HEALTH MANAGEMENT CONCEPTS, INC EIN 75-3189468 NONE | Participant communication; Consulting (general); Direct payment from the plan Service code 16 | — | $33K |
| CAVANAGH & O'HARA EIN 37-1259635 NONE | Legal; Direct payment from the plan Service code 29 | — | $27K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $10K |
| TED WINDSOR & ASSOCIATES EIN 36-4374704 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $8K |
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 | 641 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 309 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 950 | 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.